radiography program student handbook 2018 - 2019

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RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

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Page 1: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

RADIOGRAPHY PROGRAM

STUDENT HANDBOOK

2018 - 2019

Page 2: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

Table of Contents

Academic/Clinical Calendar 4

Program Information:

A.S. Degree 5

Program Mission 6

Goals and Outcomes 6

Accreditation 6

Allegations of Non-Compliance 7

Statement of Non-Discrimination 7

Contact Information 8

Student Conduct 9-10

Program Disciplinary Standards 10-12

Clinical Attendance Guidelines:

Transportation and Parking 13

Hours for Clinical Practice 13-14

Clinical Time-Off 14

Bereavement Time 15

Leave of Absence 15

School Closings 15

Standards for Program Progression 16

Grading 16

Academic Advising/Academic Improvement Guidelines 17

Readmission Procedures 17-18

Health and Safety Standards

Health Requirements 19

Criminal Background Checks and Toxicology Screening 19-20

Latex Allergy 21

Personnel Radiation Monitors 22

Health and Safety Training 22

Basic Life Support 22

Venipuncture Training 22

Liability Insurance 23

Smoking Guidelines 23

HIPAA 23

Incident/Accident Reports 23-24

Pregnancy Policy 24-25

Personnel Monitoring 26-31

Keeping Your Own Records 32

Guidelines for Student Supervision in the Clinical Education Setting 32

Imaging Sign Off 33

Page 3: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

Guidelines for Repeat Images 33

Program Dress Code 33-34

Change of Information 34

Program Fees 34

Guidelines for Clinical/Lab Practice 35

Guidelines for use of S416B, energized X-Ray Skills Lab 35

The Clinical Evaluation System 36-43

Appendices 44 - 148

Appendix A – Radiography Program Plan of Study 45-46

Appendix B – JRCERT Standards for an Accredited Educational

Program in Radiography 47-123

Appendix C – ASRT Code of Ethics 124

Appendix D – Request for CTO hours 125

Appendix E – Declaration of Pregnancy 126

Appendix F – Uniforms and Markers 127

Appendix G – Clinical Competency Requirements Checklist 128-130

Appendix H – Student Evaluation of Clinical Instructor 131

Appendix I – Evaluation of Clinical Rotation 132

Appendix J – Exit Interview 133-141

Appendix K – Emergency Evacuation/Lockdown Plan 142-145

Appendix L – Radiography Program Technical Standards 146

Appendix M – American Hospital Association, Patient Care Partnership 147-148

Page 4: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

ACADEMIC/CLINICAL CALENDAR 2018-2019

Summer 2018

June 6 New Student Orientation

June 13 Yale Fit Testing

July 17 VA fingerprinting

July 19 Griffin Orientation

July 26 VA Orientation

July 30 – Aug 1 Success Strategies Workshops

Aug 3 – 10 Patient Care Orientation (PCO)

Fall 2018

August 28 First Day of Classes/Clinical

September 3 Labor Day (College Closed) No Clinical

September 4 Last Day to Add Classes (until 4:00PM)

October 16 Reading Day, No Classes or Clinical

October 19 Mid-Term Deficiency Reports Due from Faculty

November 2 Last Day to Make Up Incomplete Grades from Spring 2018

November 9 Last Day to Withdraw from Individual Classes

November 21 Faculty Planning Day, No Classes or Clinical

November 22-25 Thanksgiving Recess, No Classes or Clinical

December 8 Last Day of Classes

December 10-15 Final Examinations, No Clinical

December 18 Last Day to Submit Final Grades (By 12:00 Noon)

December 23 Semester Ends

Winter Intersession

January 2, 2019 – January 18, 2019 Winter Clinical Internship M-F 40 hrs/week

Spring 2019

January 21 Martin Luther King Day (College Closed), No Clinical

January 24 First Day of Classes/Clinical

January 31 Last Day to Add Classes (Until 4:00PM)

February 15-18 President’s Day Recess (College Closed), No Clinical

March 8 Mid-Term Deficiency Reports Due from Faculty

March 11-17 Spring Recess, No Classes or Clinical

March 23 Last Day to Make Up Incomplete Grades from Fall 2018

April 1 Last Day to Withdraw from Individual Classes

April 19 Good Friday (College Closed), No Classes or Clinical

May 11 Last Day of Classes/Clinical

May 13-18 Final Examinations, No Clinical

May 21* Last Day to Submit Final Grades (By 12:00 Noon)

May 23* Graduation

May 27 Memorial Day (College Closed), No Clinical

June 1 Semester Ends

Summer Clinical Internship

May 22 – July 31 Clinical Internship II Begins M-F, 8a-3p or 3p-10p

May 27 Memorial Day (College Closed), No Clinical

July 3 – 4* Independence Day (College Closed), No Clinical July 27 Last Day of Clinical Internship II

*All dates are subject to change

Page 5: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

5 Radiography

PROGRAM INFORMATION

Introduction

The Gateway Community College Radiography Program Student Handbook contains the program specific

guidelines and procedures in effect for the 2018-2019 academic year. It is the student’s responsibility to be

familiar with the content of this handbook. This handbook is a supplement to the Gateway Community

College Student Handbook. The student will be held accountable for meeting the expectations outlined in

this Radiography Program Student Handbook, the College Catalog, and the College Student Handbook. The

Radiography Program reserves the right to modify any information contained in this handbook. All

approved changes will be made known to the students through a Radiography Program Student Handbook

Addendum. This handbook is not intended to cover all topics and circumstances. The Program reserves the

right to respond to specific situations in a manner that best suits the needs of the Program and the student(s)

involved, and most closely follows our stated policies.

Radiography: Associate of Science Degree

The Radiography curriculum (Appendix A) is designed to prepare students for employment as entry-level

Radiographers in hospitals, walk-in clinics, private offices and other facilities where diagnostic imaging is

available. The Program is based on approximately twenty months of full-time study. The structure of the

curriculum is designed to include didactic and supervised clinical education to assure sufficient opportunity

to achieve all didactic and clinical requirements. Students are expected to rotate through all clinical

education centers and are assigned in a random fashion. Rotation schedules are specifically designed to offer

all students an equitable clinical education and provide them with the opportunity to complete all level I, II

and III clinical objectives in order to meet Program requirements for graduation. The purpose of the clinical

practicum in the Radiography program is twofold. First, the student will learn to perform all procedures and

patient interaction skills. Second, the clinical practicum experience will provide an opportunity for the

student to develop the critical thinking skills and professionalism necessary to manage the responsibilities

he/she will encounter once employed as a registered technologist. The student is expected to treat the

clinical practicum as if it were a job. The only way the clinical instructors, evaluators and Program faculty

can assess the student’s skills and anticipated behavior as a technologist is by observing the student’s

performance in the clinical site. The habits the student develops during the time spent in the Program are

habits that will follow the student in the future as an employed technologist. Remember, this is the

beginning of an unofficial two year interview with the clinical affiliates.

Page 6: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

6 Radiography

Radiography Program Mission Statement

The Radiography program at Gateway Community College is committed to educating and preparing

competent, entry-level technologists who can provide high quality imaging and patient care to members of

the community. Furthermore, the Program is dedicated to providing tools to support lifelong learning.

Radiography Program Goals and Student Learning Outcomes

1. Students will demonstrate skills in effective oral and written communication

1.1 Students will demonstrate oral communication skills

1.2 Students will demonstrate written communication skills

2. Students will demonstrate skills in critical thinking and problem solving in the principles and

practices of Radiography

2.1 Students will assess patient requisitions in order to perform proper imaging procedures

2.2 Students will modify imaging procedures for trauma cases

3. Students will demonstrate clinical competence in the practice of Radiography

3.1 Students will apply principles and practices of radiation protection

3.2 Students will provide appropriate patient care

4. Students will model professionalism

4.1 Students will discuss the importance of continued professional development

4.2 Students will participate in professional organizations

Accreditation

The Radiography Program is accredited by the Joint Review Committee on Education in Radiologic

Technology (JRCERT), 20 N. Wacker Drive, Suite 2850, Chicago, IL 60606-3182, (312)704-5300,

www.jrcert.org, [email protected].

Page 7: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

7 Radiography

Allegations of Non-Compliance

In order to maintain this accreditation, the Program must strictly follow the Standards for an Accredited

Educational Program in Radiologic Sciences (Appendix B), which is published by the JRCERT, 20 N.

Wacker Drive, Suite 2850, Chicago, IL, 60606-3182 (312)704-5300, www.jrcert.org, [email protected].

Students have the right to file a complaint if any of the Standards has been violated by the Program. All

allegations regarding non-compliance with JRCERT Standards will be handled in the following manner:

How to file a complaint:

An allegation is to be submitted in writing to the Program Director within thirty (30) days of the date of

non-compliance or when the student knew of the alleged violation. The written allegation shall specify the

Standard claimed to have been violated and a brief summation of the underlying facts surrounding the

violation.

Procedure for Complaint Resolution:

The Program will investigate any allegation within thirty (30) days of the date the complaint was submitted.

In the course of each investigation, the Program will consult directly with the Allied Health/Nursing

Division Director. The Program will then forward the written complaint to the Academic Standards

committee within thirty (30) days of completion of investigation.

Statement of Non-Discrimination

The Radiography Program follows the non-discrimination statement of Gateway Community College which

can be found in the Gateway Community College Student Handbook.

Page 8: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

8 Radiography

Program Contact Information

Julie Austin, M.A., R.T.(R)(M) Program Director/Professor

[email protected]

(203) 285-2382

S405E

Richard Thayer, M.Ed, R.T.(R) Assistant Professor

[email protected]

(203) 285-2401

S405B

Jaye Viola, B.S., R.T.(R) Clinical Coordinator/Associate Professor

[email protected]

(203) 285-2385 Office

(203) 996-5872 Cell S405C

Clinical Affiliate Contact Information

Griffin Hospital (203)732-7300 130 Division Street Derby

Griffin Imaging & Diagnostics Center at Ivy Brook (203)732-1440 2 Ivy Brook Road, #130 Shelton

Yale New Haven Health System:

Bridgeport Hospital (203)384-3177 267 Grant Street Bridgeport

Bridgeport Hospital Outpatient Radiology (203)683-4570 2909 Main Street, 1st floor Stratford

Bridgeport Hospital Park Avenue Medical Center (203)261-7262 5520 Park Avenue Trumbull

Yale New Haven Hospital Pediatric Specialty Center (203)688-1782 1 Long Wharf Drive New Haven

Yale New Haven Hospital, York Street Campus 20 York Street New Haven

Main DI Department (203)688-2358

Emergency Department Xray (203)688-2355

CXR/EVE/GI (203)688-3515

PEDI (203)688-2941

Portables (203)688-1859

Smilow (203)200-5151

YPB (203)688-6920 800 Howard Avenue New Haven

Yale New Haven Hospital Spine Center at Long Wharf (203)688-6096 1 Long Wharf Drive New Haven

Yale New Haven Hospital, St. Raphael's Campus (203)789-3108 1450 Chapel Street New Haven

Yale New Haven Hospital Sports Medicine at Guilford (203)453-5212 1445 Boston Post Road Guilford

Yale New Haven Hospital Milford Sports Medicine (203)301-5502 48 Wellington Road Milford

VA New England Health Care System West Haven Campus (203)932-5711

x7131 950 Campbell Avenue West Haven

Page 9: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

9 Radiography

STUDENT CONDUCT

Radiography students are entering a profession that requires academic honesty and integrity. The discipline

of radiography requires assumption of personal responsibility and ethical behavior in all settings, in keeping

with the American Society of Radiologic Technologists (ASRT) and the American Registry of Radiologic

Technologists (ARRT) Code of Ethics (Appendix C). Students are expected to conduct themselves in a

manner consistent with the standards of professional behavior and clinical practice at all times. Any

violation of conduct will be dealt with according to the standards and practices outlined in this Radiography

Student Handbook, the College Student Handbook located on the College website (www.gatewayct.edu),

the Board of Regents (BOR) for Higher Education/ Connecticut State Colleges and Universities (CSCU)

Student Code of Conduct at http://www.ct.edu/files/pdfs/nursing-student-code-of-conduct.pdf, any

additional policies approved by the Board of Regents for Higher Education governing student code, each

affiliates’ code of conduct and department policies.

Radiography Program students are guests of the clinical affiliates. As guests, students are required to adhere

to the clinical affiliates’ policies as if they were employees of the clinical affiliates. Behavior that interferes

with the operations of the College, Program or clinical affiliate, violates established policies and/or

procedures, discredits the Program or is offensive to patients, visitors, program staff, clinical staff or fellow

students will not be tolerated. Appropriate action will be taken and will follow the Program Disciplinary

Policy.

The use of cell phones/smartphones/smart watches, recording devices, cameras or other electronic devices is

strictly prohibited in the clinical area. If the student is found to be texting or making phone calls in the

clinical areas, the student will be subject to disciplinary action. In addition, these devices must be on silent

during classes and labs.

Radiography students are reminded that posts to any and all social networking or social media (including

Facebook, Twitter, Instagram, personal blogs, and other types of social media accounts) must reflect the

same behavioral standards of honesty, respect, consideration and professionalism that are expected in the

College and clinical affiliates. Any social media posts or communications made by students must adhere to

the same restrictions related to privacy for fellow students, faculty, and patients as they do in a clinical

affiliate in accordance with federal Health Insurance Portability and Accountability Act (HIPAA) standards.

Inappropriate use of social media by users with regard to the College, its faculty, students, clinical affiliates,

or their patients is subject to disciplinary action.

Page 10: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

10 Radiography

A student’s written work is expected to be original and done independently unless otherwise indicated.

Footnotes and references must be used to acknowledge the source and avoid plagiarism in accordance with

the American Psychological Association (APA) standards.

Selected portions of the Radiography curriculum are taught, reinforced, and/or reviewed through the use of

educational software/instructional media such as video, computer programs, DVDs and /or online learning

activities. Students are required to adhere to all copyright policies. Violations of academic integrity will be

dealt with in accordance with College guidelines.

Program Disciplinary Standards

The program disciplinary standards and procedures may be initiated upon receipt by the Program Director

of behavior or action in violation of Program standards. The report of violation may be provided through

written evaluation, verbal report from clinical affiliate staff to College faculty/staff/administration, clinical

observation by College faculty/staff, written and/or verbal comment from clinical affiliate and/or College

faculty/staff, daily clinical performance log and/or online clinical attendance record, conference with

College and/or clinical affiliate staff. This is not an all-inclusive list. Other mechanisms not listed here may

be used to begin disciplinary procedures.

Sanctions are intended to encourage learning and as such are generally progressive in nature and

proportionate to the behavior in question. Grievous violations, therefore, may result in immediate dismissal,

upon the determination of the Program Director. The prior conduct record of a student shall be considered in

determining the appropriate sanction for a student who has been found to have violated any Program

standard.

In such cases where the continued presence of a student in the clinical setting constitutes a danger to the

health and safety of patients or staff, the clinical affiliate may temporarily or permanently remove a student

from their site and refer the student immediately to the Program Director. Students in the Radiography

program are expected to rotate through all clinical sites. A student who is permanently removed from a

clinical affiliate will be immediately dismissed from the Program and will be ineligible for re-admission to

the program at any time in the future. In certain circumstances, the Program Director may recommend to the

College’s Dean of Students that the reported behavior of the student be addressed under the Student

Conduct guidelines outlined in the College Student Handbook, which may lead to the student’s suspension

or expulsion from the College.

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11 Radiography

Disciplinary sanctions will be imposed upon a finding that a violation of the Program rules of student

behavior has occurred. They include but are not limited to, the following:

1. Documented verbal warning,

2. Disciplinary written warning,

3. Clinical/Academic disciplinary probation,

4. Programmatic dismissal.

Disciplinary Procedures

The following procedures shall govern the enforcement of the Program Disciplinary Policy:

Upon receipt of the report of a violation by a student, the Program Director may immediately impose

restrictions on or suspend a student from the clinical setting on an interim basis if, in the judgment of

the Program Director, the continued presence of the student at the clinical setting poses a danger or

disrupts the academic process.

The Program Director will provide the student an opportunity to meet within (3) working days of the

reported violation. The student will then have an opportunity to submit any relevant information

regarding the violation to the Program Director within (3) working days after said meeting.

The Program Director will review and investigate allegations and render a decision within (5)

working days of meeting with the student. During the investigation period, the student may be

placed on temporary suspension from the clinical obligations of the Program. The decision of the

Program Director as to whether the student committed the reported violation and the appropriate

sanction is final.

If the student is not satisfied with the resolution, the student may bring the concern to the Allied

Health/Nursing Division Director within (5) working days of receiving the decision. The Allied

Health/Nursing Division Director will respond in writing within (5) working days of the receipt of

the appeal.

If the student is not satisfied with the decision of the Allied Health/Nursing Division Director, the

student can initiate the Student Grievance Procedure as outlined in the College Student Handbook.

Student behavior, physical or emotional condition in the clinical teaching/learning setting that is a conflict

with the Expectations for Student Conduct will be managed in accordance with the judgment of teaching

faculty present. In consultation with the Radiography Program Director and/or Clinical Coordinator, faculty

may determine that the expertise of additional college personnel, healthcare professional or administrators is

needed to establish direction appropriate to an individual situation. If the physical or emotional condition of

the student is disability related and an Academic Adjustment has been granted by the GCC Student

Accessibility Services Coordinator and the clinical agency, then faculty must consult with GCC’s

Page 12: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

12 Radiography

Accessibility Services Coordinator prior to making further determination. The actions of faculty are

sanctioned based upon the overarching requirement to protect the student(s) and/or client(s), other students,

and/or agency employees with whom they carry responsibility for delivering safe and competent radiation

practices.

The dismissal of a student from the clinical teaching and learning environment for unsafe radiation practices

beyond one day (interim suspension) is made by the Radiography Program Director and Clinical

Coordinator. If interim suspension from clinical is a consideration, the student is provided an opportunity to

meet with designated college personnel to provide pertinent information for consideration prior to any

decision.

The dismissal of a student from any course teaching/learning activities other than clinical beyond one day

(interim suspension) must be made in collaboration with the Radiography Program Director and the Dean of

Student Services for the College. If interim suspension from any course teaching/learning activities other

than clinical is a consideration, the student is provided an opportunity to meet with designated college

personnel to provide pertinent information. The information provided by the student is considered by the

designated college personnel in collaboration with the Dean of Student Services prior to any decision

addressing interim suspension from course teaching/learning activities other than clinical.

Page 13: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

13 Radiography

CLINICAL GUIDELINES

Transportation and Parking

Students are responsible for transportation to and from the College and clinical affiliates. Students will

travel to clinical affiliates located throughout Connecticut. Students are subject to the parking regulations

established by the clinical affiliates and are expected to park in designated areas only. If a violation occurs,

the car may be towed at the student’s expense. The College and the Radiography Program are not

responsible for parking or towing expenses or injury to property sustained at a clinical affiliate site.

Please Note: The student is responsible for all fees associated with parking and transportation.

Hours for Clinical Practice

Assigned hours for daytime rotations at Yale New Haven Hospital – York Street and St. Raphael’s

campuses, Bridgeport Hospital, and the VA Connecticut Healthcare System are 8:00 am – 4:00 pm.

Assigned hours for all evening rotations are 4:00 pm – 10:00 pm. Assigned hours for satellite offices will

follow the hours of operation for that facility. The student will take a one-half hour lunch/dinner break

during their scheduled shift. Report to your clinical assignment on time and be ready to start when your

shift begins. No variation/alteration of these hours is permitted. (See Appendix B, Standard 1.3 and 1.4)

It is the student’s responsibility to log in and out daily using the online clinical documentation system

required for the Program. Please note that this data will be part of your clinical grade. Failure to maintain

accurate attendance records will result in loss of Clinical Time Off (CTO) hours for the rotation, as well as a

failure for that rotation. Hours worked must be verified on a daily basis by the Clinical Coordinator and/or

Clinical Instructor in your assigned area. Any inaccuracies, as determined by the Clinical Coordinator,

entered into the online log in or log out time will be considered falsification of documents and will result in

immediate dismissal from the Radiography Program.

Students are required to fulfill their clinical obligations. Therefore, no one is permitted to leave the clinical

site before the shift ends unless the Clinical Coordinator has granted approval. Chronic absenteeism,

tardiness and leaving early without prior permission by the Clinical Coordinator or Program Director will be

dealt with in accordance with the disciplinary policy for the Program. Tardiness is defined as reporting to

your assigned area anytime later than the scheduled start time or returning late from your scheduled break.

Tardiness will not be tolerated. Three (3) incidents of tardiness will result in a loss of one CTO day.

Students are assigned to clinical rotations based solely on educational objectives and affiliate staffing.

Students must complete their hours in their assigned area. Changes of scheduled clinical sites are not

permitted. Any student initiating changes with the clinical site or other students will be removed from the

Page 14: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

14 Radiography

clinical site and dismissed from the Program. Because of the necessity to complete competencies in all

areas, this policy will be strictly enforced. The Clinical Coordinator/Program Director reserves the right to

change clinical assignments due to educational and/or staffing concerns. Student requests for changes in

clinical rotation assignments will not be considered. Students are required to rotate through all clinical sites.

Students who are unable to report for clinical duty at the start of their scheduled shift must notify their

Clinical Coordinator AND the Clinical Instructor assigned to the clinical area within one half hour prior to

the scheduled shift.

Clinical Time Off (CTO)

Students may only take CTO time half day or full day blocks.

Students are allotted two (2) CTO days per practicum.

Students are allotted three (3) CTO days during the summer internship.

Students are allotted one (1) CTO day during the winter internship(s).

CTO days cannot be accrued.

All CTO must be recorded on a CTO form and submitted to the Clinical Coordinator.

Scheduled CTO requires that a CTO form (Appendix D) be submitted 48 hours prior

Unscheduled CTO requires that the CTO form be submitted prior to returning to the clinical

site

In most instances, each rotation is approximately six (6) or seven (7) visits and the student is evaluated in

each rotation, no more than one (1) CTO day per rotation may be scheduled as it will be difficult to evaluate

effectively. Should a student miss more than one (1) day in a rotation, the student may be required to make

up that rotation. An absence of more than two (2) consecutive days requires a physician’s note before

returning to your clinical site. A student absent without notification for three (3) consecutive days on which

the student was scheduled for clinical duty is considered a voluntary resignation from the Program without

notice.

If a student exceeds the allotted days per practicum/internship, the excess will be made up at the discretion

of the Clinical Coordinator/Program Director based on time/space availability at the clinical sites. If any

time is owed by the end of the semester, the student will receive a failing grade for the attendance portion of

the clinical grade for that semester. Make up time is NOT guaranteed. Should a student exceed the allotted

CTO as outlined in the CTO policy, the student will be required to make up time during non-clinical days.

The student must request permission from the Clinical Coordinator to make up missed time and receive an

assigned date and clinical area for the make-up day.

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15 Radiography

Bereavement Time

It is the policy of the Allied Health Division to grant students reasonable bereavement time off without loss

of CTO days when a death occurs in a student’s immediate family. The Program recognizes the following as

immediate family: Spouse, parent, step parent, daughter, son, brother, sister, step child, mother-in-law,

father-in-law, daughter-in-law, son-in-law, grandparent, grandchild, a person who is legally acting in one of

the above capacities, or another relative living in the student’s residence.

Benefit Provisions - When a death occurs in a student’s immediate family, the bereaved student will be

granted bereavement time off up to three (3) consecutive days to attend the funeral, to make arrangements

relating to the death and as emotional stress or other circumstances require. The Program Director reserves

the right to require verification of the death and relationship. The student must submit a request for

additional bereavement time to the Program Director.

Leave of Absence

A leave of absence may only be taken after satisfactorily completing the first full, fifteen week semester of

the Radiography Program. If a student decides to withdraw from the Radiography Program before the

successful completion of the first semester, he/she must reapply to the Program as a new student. In cases of

extenuating circumstances such as extensive illness, hardship or emergency, a student may request a leave

of absence from the Program for a period of no more than two semesters only AFTER successful

completion of the first semester in the Program. This request must be made in writing to the Program

Director. Students on leave who wish to re-enroll must comply with the Readmission Policy.

School Closing/Inclement Weather

The student should refer to area radio and television stations or the College web site for class delays, late

openings, cancellations or school closings. In the event that College classes are cancelled, clinical

experiences for that date will be cancelled. The clinical affiliate staff members do not have the authority to

allow students to be excused from attending clinical due to inclement weather. Students can use their

available CTO time if they are concerned about driving conditions. If the student chooses to use CTO time

due to inclement weather before the College has made any official decisions regarding delays or

cancellations, one full CTO day will be deducted from their CTO bank.

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16 Radiography

Standards for Program Progression

Students must meet all course requirements in order to progress to the next course. All Radiography and co-

requisite courses must be taken in the prescribed order according to the program of study. Students must

maintain a minimum grade of C in each and all math and science courses. The student is required to

maintain a minimum grade of 75 in all program specific courses. A student whose grades fall below the

minimum requirement will be dismissed from the Program. Dismissed students, who wish to seek

readmission, must comply with the Readmission procedure. Please note, if a student is granted readmission

he/she will be required to repeat any course(s) where the grade did not meet the minimum requirement. In

addition, the student will be required to audit Radiography courses previously taken and successfully

completed during the semester of re-entry. For example, a student who readmits to the first year, spring

semester, will register for any Program course not previously completed with the minimum grade

requirement AND must register to AUDIT those Program courses previously completed successfully during

that semester.

Program faculty are available during office hours and by appointment to offer academic advisement to

program students. Students are encouraged to seek counsel for academic, personal or financial issues.

Counseling is available to students through the Student Services office.

Grading

NUMBER GRADE POINTS LETTER GRADE QUALITY

94-100 A 4.0

90-93 A- 3.7

87-89 B+ 3.3

84-86 B 3.0

80-83 B- 2.7

77-79 C+ 2.3

75-76 C 2.0

70-74 C- 1.7

67-69 D+ 1.3

64-66 D 1.0

60-63 D- 0.7

below 60 F 0.0

I Incomplete W Withdraw

U Non-attendance Au Audit

P Pass

Page 17: RADIOGRAPHY PROGRAM STUDENT HANDBOOK 2018 - 2019

17 Radiography

Academic Advising/Academic Improvement Guidelines

The Radiography Program provides academic advising and/or improvement as is necessary based on student

performance outcomes. The procedure for academic advising and/or improvement is as follows:

Academic Advising/Academic Improvement Procedures

The following procedure shall govern the enforcement of the Academic Advising/Academic Improvement

Procedures based on the minimum grade requirement of 75 or higher.

1. The Program Director, or designee, will provide academic advising to the student as needed and

at mid-semester. An academic improvement plan will be developed. If, at mid semester, the

student’s course grade is below the minimum grade requirement, the student will be placed on

Academic Probation until the end of the semester.

2. The Program Director, or designee, will refer the student to the Allied Health and Nursing

Division Advisor. The student must set up an appointment with the ALH/NUR Advisor within

(3) working days of initial meeting with Program Director.

3. The Program Director, or designee, will submit an Academic Concern Report through the

Counseling and Student Success Department as needed and within (3) days of initial meeting

with student.

4. If the student does not meet the minimum grade requirement of 75 or higher in any program

course, the student will meet with the Program Director and be dismissed from the Program.

5. If the student is not satisfied with the final semester grade, the student can initiate the College

Student Grievance Procedure as outlined in the College Student Handbook.

Readmission Procedures

Readmission to the Radiography Program is based on a review of, but not limited to, past academic and

clinical evaluations, and evidence of interim efforts to strengthen areas of weakness. A student is eligible

for readmission to the Radiography Program once. Consideration for readmission to the program can only

be granted if there are available openings, clinical resources and faculty. In the event there are more

readmission applicants than available openings, a ranking system will be applied. Readmission requests are

evaluated on an individual basis. The Program Director reserves the right to deny readmission to those

students who do not complete the requirements of the exit plan.

Readmission Requirements

All applicants for readmission must:

Have successfully completed the first semester of the Radiography Program;

Be in good clinical standing at the time of leaving the Program;

Maintain a minimum GPA of 2.75;

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18 Radiography

Schedule an exit interview with the Program Director within thirty (30) days of leaving the Program;

Submit a request for readmission to the Program Director within 12 months of withdrawing;

Submit current health assessment forms prior to the start of the semester in which they will be

readmitting;

Students who withdraw because of personal or health-related problems and who are in good academic and

clinical standing are eligible to reapply to the Program the following year. Applications for readmission

should be accompanied by a physician’s release certifying suitability for class and clinical attendance and

participation. Please note, if a student is granted readmission he/she will be required to repeat any course(s)

where the grade did not meet the minimum requirement. In addition, the student will be required to audit

Radiography courses previously taken and successfully completed during the semester of re-entry. For

example, a student who readmits to the first year, spring semester, will register for any Program course not

previously completed with the minimum grade requirement AND must register to AUDIT those Program

courses previously completed successfully during that semester.

Readmission Process

The student must:

Meet with the Program Director to complete exit interview

Successfully complete an Independent Study to maintain their clinical skills. This must be completed

during the semester prior to the semester he/she wishes to be considered for readmission. The

student will be required to attend eight (8) hours of clinical per week. The clinical rotation schedule

will be determined by the Clinical Coordinator. The student must pass a clinical skills evaluation

conducted by the Clinical Coordinator and/or Program Director to be eligible for clinical reentry.

Submit a request for readmission letter to the Program Director by April 1st for the fall semester,

November 1st for the spring semester or January 1st for the summer session.

Notification will be given to the student prior to the start of the semester in which they are requesting

readmission.

Ineligibility for Readmission

A student who receives a final grade of F (Fail) in any RAD clinical practicum or internship

The student has been readmitted once

Any applicant for readmission who has previously withdrawn or been dismissed from the

Radiography Program for more than 12 months.

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HEALTH AND SAFETY STANDARDS

Health Requirements

All students are required to submit a current health assessment completed by a primary care provider within

the last twelve (12) months. Documentation of specific student health requirements is mandatory prior to

participation in any clinical experiences. The health assessment, including all supporting documentation,

must be uploaded through the Castle Branch website by July 13th. Failure to complete the required health

assessment form by the specified dates may result in dismissal from the Radiography program. Certain

items may require additional follow-up procedures during the course of the Program (i.e., Hepatits B series,

Influenza Vaccination, Tuberculin testing). The student is required to follow all instructions for

documentation of immunization status with required lab reports and to obtain the signature of the health care

provider as indicated. Clinical affiliate contracts state the student must be in good physical and emotional

health and free of communicable diseases. The student is strongly encouraged to receive the Hepatitis B

immunization series; any student who refuses to receive the immunization is required to sign and submit the

Hepatitis B waiver. Tuberculin tests (PPD) must be updated annually and supporting documentation must be

submitted through Castle Branch. Students who have a history of positive PPD must submit one of the

following: CXR report within the past two years or Quantiferon Gold lab test. In addition, all students are

required to have an annual influenza vaccination as required by the clinical affiliates. Non-compliance

without proper documentation will result in removal from the clinical affiliate, and may result in

disciplinary action.

Please Note: The student is responsible for all fees associated with this.

Criminal Background Checks & Toxicology Screening

Due to clinical learning affiliate requirements, criminal background checks and toxicology (drug) screening

is required for all Radiography students prior to participation in clinical experiences. Due to this

requirement, student refusal of either the background check or drug screening, will result in dismissal from

the Radiography program due to the inability to complete clinical learning requirements. Students must

follow all instructions for obtaining criminal background checks and toxicology screenings.

Students who are found guilty of having committed a felony, misdemeanor and/or are found to have a

positive toxicology screen may be prevented from participating in clinical experiences. Please note, in

accordance with federal law, a positive toxicology screen for legally prescribed marijuana may

prohibit a student from being placed in a clinical setting that accepts federal funding.

Please note: The student is responsible for all fees associated with this.

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Procedures and Guidelines for Student Toxicology (Drug) Screening and Criminal Background

Checks

Confidential toxicology (drug) screening and/or criminal background checks will be required for

Radiography students prior to participation in their clinical rotations utilizing the vendor(s) adopted by the

College (i.e. Castle Branch, Connecticut League for Nursing/CLN, etc.). The following guidelines are

applicable to Toxicology Screening and/or Criminal Background Checks for any student:

1. Fees for all screenings must be paid by the student;

2. The need for additional screening/assessment beyond the initial screening/assessment is related to

clinical affiliate requirements and/or results of the initial screening/assessment;

3. Notification and recordkeeping of toxicology screening results and/or criminal background checks

are performed in a manner that insures the integrity, accuracy and confidentiality of the information;

4. Students are not allowed to hand-deliver results of either toxicology screening or criminal

background checks;

5. Students are required to sign a release for results of toxicology screenings and criminal background

checks to be sent to the Radiography program; and

6. Results of toxicology screenings and criminal background checks are NOT a part of the student’s

“educational record” as defined by the Family Educational Rights and Privacy Act (“FERPA”).

Toxicology Screening Standards and Guidelines

The following guides the response to a positive Toxicology Screening for any student:

1. All specimens identified as non-negative/positive on the initial test shall be confirmed, reviewed, and

interpreted by the vendor;

2. The student is required to provide documentation by a healthcare provider in the event there is a

medical explanation for a positive test result (i.e. a result of a legally prescribed medication).

Toxicology Screening that requires Retesting:

1. Vendor reports that the screening specimen was diluted;

2. If a student challenges a result, only the original sample can be retested.

Response to a Confirmed Positive Toxicology Screen

If a student tests positive for drugs that are illegal substances, non-prescribed legal substances, or the student

is deemed unsafe for the clinical setting by a healthcare provider, the student will be immediately dismissed

from the Radiography Program. Students will be given an opportunity to discuss the results of the non-

negative/positive screen with the Radiography program director or designee.

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Readmission following dismissal from the Program in response to a confirmed positive toxicology screen is

guided by the following conditions:

1. The student provides documentation from a qualified healthcare professional indicating status of

abuse, addiction or recovery and/or documented rehabilitation related to the alcohol/drug abuse;

2. A confirmed negative toxicology screen is documented immediately prior to readmission and

3. The student meets all other requirements for readmission.

Reasonable Suspicion Screening

Students may also be required to submit to additional toxicology screening during the Radiography program

in accordance with clinical affiliate contracts when reasonable suspicion of impairment exists. Reasonable

suspicion testing may include, but not be limited to, the following:

1. Physical symptoms such as slurred speech, unsteady gait, confusion or other manifestations of

drug/alcohol use;

2. Presence of an odor of alcohol or illegal substance;

3. Abnormal conduct or erratic behavior during clinical or on-campus learning activities, chronic

absenteeism, tardiness, or deterioration of performance regardless of any threat to patient safety;

4. Suspected theft of medications including controlled substances while at the clinical facility; and

5. Evidence of involvement in the use, possession, sale, solicitation or transfer of illegal or illicit

drugs while enrolled in the Radiography Program.

Criminal Background Checks Standards and Guidelines

Students who are found guilty of committing a felony will be prevented from participating in clinical

experiences by clinical learning facility policy. If a student cannot participate in a clinical rotation at an

assigned facility, s/he will not be able to complete the objectives of the course and program.

If a criminal background check reveals that a student has been found guilty or convicted as a result of an act

which constitutes a felony and the student is unable to be placed at a clinical learning site, then the student is

unable to meet the clinical objectives/outcomes of the course. The Program Director notifies the student and

the student is provided with the opportunity to withdraw from the program. Should the student refuse to

withdraw, the student will be terminated from the program.

Latex Allergies

Most clinical sites as well as the College Radiography lab are not latex-free. Program Students who have a

known latex sensitivity/allergy must notify the Program Director and/or Clinical Coordinator to develop a

plan of action.

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Personnel Radiation Monitors

Students occupationally exposed to ionizing radiation are expected to wear their personnel monitoring

device at all times during clinical practice. Monitors should be worn at collar level and on the outside of any

lead apron. Please see the section on Personnel Monitors for Radiology Students Occupationally

Exposed to Ionizing Radiation on pages 24 – 27 of this handbook for more information

Health and Safety Training

Students are required to complete the online Connecticut Hospital Association (CHA) Health and Safety

Training course prior to participation in the clinical experience. The course is available at:

https://www.cthosp.org/education/ct-health-and-safety-training-course/

Basic Life Support Certification

Students are required to provide documentation of current professional level certification in Basic Life

Support for adult, child and infant. Certification can only be earned through the American Heart

Association or the American Red Cross and must remain current throughout the Program.

Courses meeting this requirement are:

The American Heart Association Basic Life Support (BSL) for Healthcare Providers

The American Red Cross CPR/AED for the Professional Rescuer

A copy of the current certification card must be uploaded to Castle Branch prior to the start of the first

semester in the Program. Failure to comply will result in exclusion from the clinical learning experience.

Online certifications will not be accepted.

Please note: The student is responsible for all fees associated with this.

Venipuncture Training

All students must participate in venipuncture training provided by the Radiography program and/or the

clinical affiliate, regardless of previous certifications or training.

Liability Insurance

Professional liability insurance is provided through the College and is valid for a period of one year.

Professional liability insurance must be purchased at the beginning of each academic year at the time of

each fall registration. Students may also purchase additional professional liability insurance on their own.

Please note: The student is responsible for all fees associated with this.

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Smoking Guidelines

Gateway Community College is a smoke free campus/workplace. Students are required to follow hospital

policy regarding smoking. Please be advised that we require all students to come to clinical free from any

tobacco product odor. If a student smells of tobacco products they will be asked to leave clinical

immediately and will lose CTO time.

Any student looking for smoking cessation resources may visit the following website for further

information: http://www.cdc.gov/tobacco/campaign/tips/quit-smoking/ or call 1-800-Quit-Now.

Health Insurance Portability and Accountability Act (HIPAA)

Students enrolled in the Radiography Program will adhere to all standards and procedures concerning

Standard Precautions and Infectious Disease Policies and Health Insurance Portability and Accountability

Act of 1996 (HIPAA) as practiced at the assigned clinical affiliate.

Students must never disclose confidential information including anything pertaining to the medical history,

diagnosis, treatment, and prognosis to anyone not directly involved in the care of the patient. In addition,

students are required to follow HIPAA regulations on “Protected Health Information” which includes any

“individually identifiable health information”. This includes information such as the individual’s past,

present or future physical or mental health or condition, the provision of health care to the individual, or the

past, present, or future payment for the provision of health care to the individual, and that identifies the

individual or for which there is a reasonable basis to believe it can be used to identify the

individual. Individually identifiable health information includes many common identifiers (e.g., name,

address, birth date, Social Security Number).

Please visit http://www.hhs.gov/hipaa/for-professionals/index.html for more information. Failure to adhere

to this code constitutes a violation of the “Right to Privacy Act,” as well as HIPAA and is professionally

unacceptable, as well as potentially compromising from a medical/ legal standpoint.

Incident/Accident Reports

Students must report any incident or accident that occurs at the clinical affiliate immediately to the Clinical

Instructor and Clinical Coordinator. An incident or accident report for each occurrence must be completed

according to the guidelines of the clinical affiliate site. Students must provide a copy of the incident report

from the clinical affiliate site to the Program Director within 24 hours. Failure to report an occurrence to the

Clinical Instructor, Clinical Coordinator, and Program Director will result in a disciplinary sanction. (See

appendix E for incident report form.) For any incidents or accidents that occur while on the Gateway

Community College campus, the student should follow the guidelines outlined in the Gateway Community

College student handbook.

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Pregnancy Procedure – Voluntary Notification

The pregnancy procedure is a voluntary program intended to provide an option for pregnant students who

are considered to be occupationally exposed to ionizing radiation. In the event of a suspected or confirmed

pregnancy, it is the responsibility of the student to advise her program director in writing of her condition if

she wants to declare her pregnancy. Pregnancy during the course of the Program may present problems for

completion of objectives/competencies in the expected time frame due to the number and variety of courses

in the Program curriculum and the necessary clinical assignments required of students in meeting the

clinical education objectives for each clinical course. If the student has difficulty maintaining the routine

schedule of the Program, progression and completion can be jeopardized. All program requirements must

be completed in order for a student to graduate. The program director cannot sign the ARRT certification

exam application and/or graduation verification form until the student has met all requirements and has

graduated from the Program. In the event, however, that a student becomes pregnant, she has the option to

declare or not declare her pregnancy.

Declaration of pregnancy is a voluntary option and may be withdrawn at any time. The student has the right

to not declare pregnancy and remain in the program with no modifications. The student may revoke a

declaration of pregnancy at any time and must be submitted in writing. Choosing not to declare a pregnancy

will result in exemption from the specific radiation protection regulations limiting the exposure to the

embryo/fetus. Whether or not pregnancy is declared, the pregnant student is advised to consult with her

physician. The program will not assume liability in any case of pregnancy.

Pregnancy will not affect the student’s enrollment in the academic courses in the Program, however,

due to the physical requirements placed upon the student in the clinical courses and assignments, and

in order to comply with 10 CFR Part 20.1208 to keep the radiation exposure to the fetus as low as

reasonably achievable (no more than 500 mrem and 50 mrem per month during the gestation period),

the following procedures will apply:

1. The student may voluntarily report a suspected or confirmed pregnancy to the program’s

Radiation Safety Officer (Michael Bohan 203-688-2950)

2. The RSO will determine the estimated radiation dose from the time of conception to the date of

declaration based on dosimetry records and calculate the permissible remaining dose to the

embryo/fetus for the remainder of the pregnancy.

3. Upon review of the findings and recommendations of the RSO, clinical assignments will be

reviewed by the program faculty. Clinical assignments will be altered if the fetus received the

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maximum permissible dose as stated by 10 CFR Part 20.1208. Any clinical competencies not

completed for reasons related to pregnancy must be successfully completed prior to graduation.

4. If a student voluntarily decides to declare her pregnancy she must complete and sign the

Declaration of Pregnancy Form (Appendix E). The original will remain with the RSO. A copy

will be provided to the student, and a copy must be submitted to the Program Director.

5. Within 1 week of voluntary declaration of pregnancy, the declared pregnant student must

provide the Program Director with written indication of intent to:

a. Continue in the Program with or without modifications, or

b. Take a medical leave of absence with intent to complete the Program, or

c. Withdraw from the Program

6. The declared pregnant student must provide the Program Director with written consent from her

physician including the estimated date of conception and estimated date of delivery as well as

providing medical advice for:

a. Continuing in the Program as a full-time student, and/or

b. Any limitations placed upon the student while enrolled in the Program.

Note: Experience shows that the radiation workers in this program generally receive to the whole body well

below 500 mrem per year, 50 mrem per month, and it is most unlikely that there will be any problems

adhering to the fetal exposure limits.

Through proper instruction, strict adherence to safety precautions and through personnel monitoring, it is

possible to limit occupational exposure to less than 0.5rem during the period of gestation.

The pregnant student will be expected to complete all the requirements for any sequential, didactic course(s)

in which she is enrolled prior to enrolling in the next semester’s coursework. Prerequisite courses must be

completed prior to the beginning of the next course. All clinical days/hours missed by the student must be

made up prior to graduation.

If a leave of absence is taken, the student must then comply with the Readmission Policy. If the student

wishes to return to the Program within six weeks after the pregnancy is complete, she must submit

verification of clearance from her physician.

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Personnel Monitors for Radiology Students Occupationally Exposed to Ionizing Radiation

I. Policy

It is the policy of all clinical affiliates to adhere to both State and Federal regulations regarding the

bioassay services and use of personnel monitoring devices by students occupationally exposed to

ionizing radiation. The information gained through their use will be used to keep individual and

collective exposures As Low As Reasonably Achievable (ALARA).

II. Application

This policy applies to any Gateway Community College Radiology student occupationally exposed

to ionizing radiation who, in any calendar quarter, receives or is likely to receive, a dose greater than

10% of the applicable maximum permissible dose limit as recommended by the National Council on

Radiation Protection and Measurements (NCRP), and incorporated in State and Federal regulations

(see Table I). Personnel monitors will be issued on a monthly or quarterly basis as determined by the

Yale- New Haven Hospital Radiation Safety Officer (RSO), according to expected exposure levels.

III. Administrative Guidelines

A. Radiation monitors will be issued and bioassays performed by the Hospital’s Radiation Safety

Officer (RSO) to:

1. All Radiology students who in the course of their work may receive external or internal

radiation exposures greater than 10% of the maximum permissible limit.

2. Bioassay services will be provided to students when necessary as determined by the

Radiation Safety Officer (RSO).

3. Internal doses received will be modified according to the weighting factors identified in

Table II and the summed with external doses to determine the Total Effective Dose

Equivalent (TEDE).

4. All occupational dosimetry results will be kept on permanent file by the Radiation Safety

Office. Duplicate copies of the monthly or quarterly monitoring results will be distributed

to the Clinical Coordinator for review with students to keep them informed of their

personal personal exposure history. Individual exposure summaries will be provided to

each monitored student who exceeds 0.1 REM annually and upon request.

5. Quarterly exposures that exceed 10% of the quarterly maximum permissible limit will be

highlighted in yellow on the duplicate reports and a summary of the results will be

presented at the quarterly Radiation Safety Committee meeting. Quarterly exposure

levels that exceed 30% of the quarterly maximum permissible limit will be highlighted in

red on the duplicate reports and reported to the individual involved and the Clinical

Coordinator and Program Director. The RSO will investigate these exposures to

determine their cause and implement measures to reduce such exposures, consistent with

the ALARA policy. The results of these ALARA investigations will be presented at the

quarterly Radiation Safety Committee meeting.

B. Students, who believe that they are occupationally exposed to levels greater than 10% of the

applicable maximum, may request an assessment of their situation by the Radiation Safety

Officer. If, in the Radiation Safety Officer’s judgment, these students are potentially exposed

to more than 10% of the applicable maximum, radiation monitors will be issued for a three-

month trial period. At the end of the trial period, the RSO will determine if the exposures

received indicate that permanent monitoring is necessary.

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C. The RSO may terminate existing monitoring if the student’s exposure history

indicates that he/she is not likely to be exposed to radiation in excess of 10% of the

applicable maximum.

D. It is recommended that occupationally exposed students, i.e. those who are monitored for

radiation exposure, who become pregnant, should notify the RSO as soon as their condition

is confirmed. The RSO will then schedule a meeting with the student to discuss her

radiation-exposure history, the risks to the fetus, and measures that can be taken to minimize

the dose to the fetus.

If the student’s previous radiation history indicates that her occupational exposure may

exceed 0.5 Rem during the gestation period, she may voluntarily decide to formally declare

her pregnancy to the Program and clinical affiliates by signing a letter that includes her name

and estimated date of conception. If a student formally declares pregnancy, the Program/

clinical affiliates will take reasonable steps to avoid substantial variation above a uniform

monthly exposure rate to assure that fetal exposure will not exceed 0.5 Rem during the

gestation period. If the dose to the fetus is found to have exceeded 0.5 Rem or is within 0.05

Rem of this dose by the time the student declares her pregnancy, the Program/clinical

affiliates will limit additional dose to no more than 0.05 Rem during the remainder of the

pregnancy. This may be accomplished by a modified clinical training schedule, withdrawal

from the Program, or by a leave of absence.

If the student chooses to not make a formal declaration of her pregnancy, she may remain in

her present position, and will be subject to the normal occupational dose limits (see Table 1),

and the program/clinical affiliates will not be required to limit the exposure to the

embryo/fetus to 0.5 Rem.

IV. Responsibility

A. Radiation Safety Officer (RSO)

Shall be responsible for the issuance, collection, termination and record keeping

requirements of the radiation monitoring program. The RSO will investigate unusual or

unexpected exposures to ensure that ionizing radiation exposure is kept As Low As

Reasonably Achievable (ALARA). The RSO will consult with students, supervisors,

management and others as necessary to assist them to make informed decisions regarding

occupational exposure and keeping exposure ALARA.

B. Occupationally Monitored Students

Shall be responsible for wearing their radiation monitors as instructed during all scheduled

work hours. Students shall not engage in any radiation procedures without wearing their

radiation monitors. Monitors should not be worn while the student is off duty or during

medical treatments or examinations requiring exposure to radiation. To assure the quick and

efficient exchange and reading of monitors, they should be returned to the RSO within one

week after receipt of replacement monitors.

C. Program Director/Clinical Coordinator

The Program Director/Clinical Coordinator will make a reasonable effort to find a suitable

accommodation for declared pregnant students who have exceeded the 0.5 Rem during their

gestation period. This may be accomplished by a modified clinical training schedule,

withdrawal from the Program or by a leave of absence.

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28 Radiography

D. Contact Persons:

Yale-New Haven Hospital - Mike Bohan – (203) 688-2950

Bridgeport Hospital – Rodrick Richardson – (203) 384-3168

V. DISCIPLINARY ACTION

A. Failure to register the assigned dosimeter badge with instadose+ within one week of receipt

of badge will result in an immediate disciplinary written warning in accordance with the

Program Disciplinary Standards. Failure to perform badge dose reads at time intervals

designated by the RSO by the specified deadline receipt of a replacement monitor shall be

considered a minor offense will result in immediate disciplinary written warning in

accordance with Program Disciplinary Standards located on pages 11 – 13 of this Student

Handbook. Loss of dosimeter badge may result in a disciplinary sanction and will cost the

student $25 to replace.

B. Tampering with the dosimeter or exposing it to ionizing radiation so as to cause a false

positive reading shall be considered a serious offense and will result in immediate dismissal

from the Program.

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29 Radiography

TABLE I

MAXIMUM PERMISSABLE OCCUPATIONAL RADIATION EXPOSURE LIMITS

Quarterly Limit Annual Limit

1.Total Effective Dose Equivalent 1.25 Rem 5 Rem

(TEDE) including Weighted Internal Doses

2.Lens of Eye 3.75 Rem 15 Rem

3.Extremity, Skin or Individual Organ Dose 12.5 Rem 50 Rem

4.Skin of the whole body 12.5 Rem 50 Rem

5.Embryo/Fetal Dose (Declared Pregnancy) 0.05 Rem 0.5 Rem

TABLE II

ORGAN DOSE WEIGHTING FACTORS

Organ or Tissue Weight Factor

Gonads 0.25

Breast 0.15

Red Bone Marrow 0.12

Lung 0.12

Thyroid 0.03

Bone Surfaces 0.03

Remainder 0.30*

Whole Body 1.00

*Remainder – 0.30 results from 0.06 for each of 5 “remainder” organs (excluding the skin and lens of the

eye) that receive the highest doses.

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Yale-New Haven Hospital

INSTRUCTIONS TO FILM BADGE USERS

Film badges are an important part of the radiation safety program at Yale-New Haven Hospital. The

results from the film badges are used to measure your personal exposure, and also to identify radiation

exposure trends within your department and in the hospital as a whole. In order to maintain a safe

radiological environment, your cooperation with the film badge program is essential. If you are issued

a film badge or other dosimeter, please follow the instructions below.

1. Radiation monitoring badges are distributed on the first of the month to all Hospital departments.

Identify the person in your department who distributes the film badges. You should exchange

your film badge with them within a week after the arrival of new badges. 2. Wear your radiation monitor AT ALL TIMES DURING DUTY. Your monitor is supposed to

measure your exposure at work. If you don't wear it at all times, it will not represent a true

measure of your occupational exposure. You may not always anticipate when exposures may

occur. 3. The monitor must be placed in the holder so it can be worn properly. Make sure the monitor is

clipped into the holder properly. The two notches in the badge must be aligned with the two

clips on the holder. 4. Radiation monitors are sensitive to heat, moisture, and light. Do not allow your monitor to go

through the laundry, be left in a hot car on a sunny day, or puncture the protective packet. All

these may effect the accuracy of results. 5. Do not share your monitor with someone else. If someone needs a new monitor or has lost

theirʼs, contact the Radiation Safety Officer (RSO) at (203)688-2950 for a replacement. 6. Do not wear your monitor if you personally undergo a diagnostic or therapeutic procedure. The

monitor is meant to measure your occupational exposure only. If you wish to know what doses

you may receive from a medical procedure, contact the RSO. The RSO can supply average dose

estimates for these studies. 7. If you are involved in fluoroscopic procedures and are issued only one monitor, wear it at the

collar outside of your protective apron. If you are issued two monitors, the monitor designated

"WAIST" should be worn under the apron at the waist, the other monitor should be worn at the

collar outside of the apron. 8. Ring monitors are issued to people who may receive exposures to the hands. If you are issued one

ring it should be worn on the hand which is closest to the source of radiation for the longest time.

The face of the ring badge should be worn so it points toward radiation source if possible. Please

be consistent in wearing your ring monitors, they can provide the RSO with clues as to where

exposures are occurring so protective measures can be improved. Rings should be worn under

gloves to prevent them from becoming contaminated. If you need sterile rings, they can soaked

in a liquid sterilizing solution and rinsed in sterile water before use.

9. The radiation monitor results are examined monthly by the RSO for evidence of excessive or

unusual exposures. The results are examined quarterly by the Radiation Safety Committee to

maintain exposures As Low As Reasonably Achievable (ALARA). If your exposure is greater

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31 Radiography

than expected you will be notified by the RSO and an investigation into the circumstances of the

exposure will be conducted. Depending on the results of the investigation, new equipment or

procedures may be recommended to keep exposures ALARA. 10. Copies of the monitor results are distributed to the individual departments for posting. Exposures

greater than 10% of the quarterly limits are highlighted in yellow. Exposures greater than 30% of

the quarterly limits are highlighted in orange or red. On the back of the report, you will find

information explaining the report

and the information it contains. You may also request your cumulative exposure history at any

time from the RSO directly.

11. Yale-New Haven Hospital follows the recommendations of the National Council on Radiation

Protection and Measurements (NCRP) and the regulations of the United States Nuclear

Regulatory Commission, Title 10, Part 20, concerning maximum permissible doses.

12. The ALARA program tries to maintain exposures below 10% of the limits listed above. Within

the Hospital, these levels are generally easily achievable with proper techniques and use of

protective equipment. Past experience at Yale-New Haven Hospital has shown that 96% of all

badged personnel receive less than 10% of the annual limits. 13. If you are actively planning a pregnancy or become pregnant, notify the RSO as soon as possible.

Request an appointment with the RSO so you can review your past exposure history to determine

if further

measures are needed to minimize dose to the fetus.

14. If you are not familiar with radiation safety techniques, contact the RSO. The RSO can provide

you with the information you need to minimize your exposure.

15. You can contact the RSO at (203)688-2950 or at Winchester Bldg. Rm. 204

MJB (Jul07)

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Keeping Your Own Records

Students are strongly advised to keep “hard copies” of their completed clinical documentation in a three ring

binder. While our clinical documentation system is online, computer errors do sometimes occur. Students

are encouraged to make copies on a continuous basis, and are responsible for making the copies at their own

expense.

Guidelines for Student Supervision in the Clinical Education Setting

Students are required to perform radiographic procedures under direct supervision until the student has

achieved competency in the procedure being performed. Once competency has been achieved the student

can perform the procedure under indirect supervision. Students are never to perform any radiographic

exams without the appropriate level of supervision.

Direct Supervision: Student supervision under the following parameters:

a. A qualified Radiographer reviews the procedure in relation to the student’s

achievement;

b. A qualified Radiographer evaluates the condition of the patient in relation to the

student’s knowledge;

c. A qualified Radiographer is present during the conduct of the procedure;

d. A qualified Radiographer reviews and approves the procedure/images;

e. A qualified Radiographer is present during student performance of any repeat of any

unsatisfactory radiograph.

Indirect Supervision: Student supervision under the following parameters:

a. A qualified Radiographer must be immediately available to assist the student

regardless of the level of student achievement. Immediately available is interpreted

as the presence of a qualified radiologic technologist adjacent to the room or location

where a radiographic procedure is being performed. Contact via electronic devices

such as cell phones or pagers is not acceptable. This availability applies to all areas

where ionizing radiation equipment is in use;

b. A qualified Radiographer reviews and approves the procedure/images;

c. A qualified Radiographer is present during student performance of any repeat of any

unsatisfactory radiograph.

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33 Radiography

Imaging Sign Off

No student, regardless of competency level, will perform any imaging procedure without first reviewing the

request with a qualified Radiographer. All images must be reviewed and approved by a qualified

Radiographer before the image can be sent to the radiologist for interpretation. There are no exceptions.

Guidelines for Repeating Images

No student will repeat a radiograph without the direct consultation and supervision of a qualified

Radiographer. There are no exceptions.

Radiography Program Dress Code

Students are required to purchase the uniform designated for the Radiography program. It consists of navy

blue scrub pants and navy blue, embroidered scrub top. Scrub tops without the proscribed Program

embroidery are not acceptable. The scrubs must be purchased from the specified vendor (Appendix F).

There are no other uniform colors/combinations to be worn. The student must wear white, closed toe, closed

back leather uniform shoes or white leather low-top sneakers. Sneakers should be all white - no colored

stitching or colored laces. High top sneakers are not allowed. Students may wear a short white lab jacket or

smock while in the clinical setting or a plain white tee shirt or a long sleeved white shirt can be worn

underneath the navy blue, embroidered scrub top. The following general uniform guidelines must be

followed at all times:

Uniforms should be clean, pressed and properly maintained. Shoes should be clean, well-

constructed and practical.

Tattoos should be covered at all times.

Hair longer than shoulder length must be securely tied back to keep from coming in contact

with patients. Appropriate hairstyles and accessories are to be conducive to the professional

atmosphere of the clinical affiliate.

Appropriate levels of daily personal hygiene suitable for patient contact

should be maintained including bodily cleanliness. Facial hair must be

trimmed.

For purposes of safety and protection, earrings must not extend beyond ear

lobes and ornamental rings are not permitted in direct patient care areas.

Necklaces, excessive rings and ornamental jewelry of any kind (including

any type of facial piercing) are not permitted. These can be hazardous to the

patient as well as the student.

Fingernails must be kept at a length of no more than ¼ inch as recommended

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34 Radiography

by the CDC, clean and well-manicured. Nail polish, if worn, must be neatly

maintained (free of cracks and chips). A single color is recommended.

Rhinestones, sparkles, designs or foreign bodies/nail jewelry are not

permitted. Artificial nails and nail tips are NOT permitted in the clinical

setting.

Cosmetics, including perfume and/or cologne are to be used in moderation.

Chewing Gum is not allowed

Radiation monitors, hospital ID tags and GCC student ID tags must be worn

in all clinical affiliates at all times. Lanyards are not allowed. All ID’s must

be visible and attached to the uniform or lab coat.

Change in Student Information

It is very important that the Program Director has the most up-to-date contact information for each student.

Any change in name, address, phone number or email address should be given to the Program Director,

Clinical Coordinator and College Registrar’s Office immediately.

Program Fees

The student is responsible for all fees associated with the following Program requirements:

Textbooks - $800

Uniforms - $200

Clinical Markers - $30

Toxicology Screening - $65

Background Check - $65

Trajecsys online clinical documentation system - $150

Castle Branch online health management system - $35

Pin for pinning ceremony - $30

Transportation and associated costs – Variable

Health care immunizations and titers – Variable

BLS or CPR/AED – Variable

* These fees are approximate and subject to change. If a student takes a leave of absence from the

program, they will need to cover additional program fees as needed.

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35 Radiography

Guidelines for Clinical/Lab Practice

In accordance with JRCERT Standards for an Accredited Educational Program in Radiography,

Standard 4.3 - Assures that students employ proper radiation safety practices, students must not hold

image receptors during any radiographic procedure. Students should not hold patients during any

radiographic procedure when an immobilization method is the appropriate standard of care. Students are

expected to be able to perform all clinical requirements within the scope of the Radiography Program

Technical Standards. If a student is unable to meet these technical standards at any time in the Program, they

will be required to submit written documentation from their healthcare provider stating such. The student is

required to use clinical time off while they are unable to attend clinical and/or lab. Once the student is able

to meet the technical standards and can return to clinical and/or lab, written medical clearance must be

provided by the healthcare provider. Any time owed must be made up prior to the completion of the

program and must be scheduled and approved by the Program Director and Clinical Coordinator.

Guidelines for use of S416B, the energized X-ray Skills Lab

Students are given the opportunity to use the X-ray Skills Lab at the College during lab instruction, class

practice and for any remediation. The following guidelines must be followed at all times and are strictly

enforced. Any student found to be non-compliant with the guidelines will be subject to disciplinary actions

which could include program dismissal.

1) Students are not permitted in the energized X-ray Skills Lab without the direct supervision of an

ARRT registered, State of Connecticut licensed Radiography faculty member.

2) The door to the lab should be closed and locked at all times. This door should never be propped open

for any reason.

3) Students are required to follow all radiation safety and protection guidelines at ALL TIMES while

using the lab.

4) Students will not hold any positioning devices including grids during any exposure.

5) Students may practice POSITIONING on one another but will NEVER radiate a live person at any

time during lab use.

6) Absolutely NO food or drink allowed in the lab.

7) No open – toe shoes allowed in the lab.

8) Dosimeter must be worn at all times.

9) Students must have markers at all times.

10) Issues or concerns with the condition of the room or equipment must be immediately reported to the

Clinical Coordinator or Program Director.

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36 Radiography

CLINICAL EDUCATION – THE EVALUATION SYSTEM

The clinical aspect of the Radiography Program is of the utmost importance. Clinical skills must be

performed routinely in an accurate, professional and caring manner. The GCC Radiography Program has

developed general task objectives as well as objectives specific to each rotation area and an evaluation

system to ensure that the student is meeting the required objectives. Clinical education is broken down into

specific categories:

Technical skills

Patient care skills

Clinical skills

Behavioral skills

The student is instructed and gains knowledge in a logical, sequential manner. Basic skills are taught and

learned before more complex ones are introduced. Once these individual skills are mastered and

documented in the Daily Clinical Log, the student then proceeds to be tested in an orderly manner.

Competency testing occurs only after the student has obtained and/or successfully met the following

requirements:

1. Lecture on subject matter

2. Energized simulation laboratory

3. Lab evaluation

4. Documentation of observation and knowledge of specific skills through

Knowledge Assessments and the Daily Clinical Log

5. Knowledge Assessment corrected and documented by program faculty in

Daily Clinical Log

Once the student attains competency in any area or procedure, he/she shall maintain and practice these

skills. At the completion of the Program, the student will have demonstrated and documented entry level

clinical skills through an exit competency evaluation/interview given by the Clinical Coordinator, Program

Director or his/her designee.

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37 Radiography

Method of Training

The student will rotate through the radiology department of the clinical affiliate in such a manner so as to

provide for sufficient exposure to a variety of radiographic examinations and procedures. During each

rotation the student will observe, assist and demonstrate each skill as it is taught and acquired. Each

assigned area is considered a clinical learning lab and each area is assigned a clinical instructor. Strengths

are discussed and weaknesses are addressed. Students are afforded ample opportunity to complete all

assigned task objectives and competencies.

The clinical training is correlated with the didactic education. The clinical training is broken down into

three (3) levels of mastery:

Level I training consists of the very basic examinations learned in Radiographic Anatomy & Procedures I

and II and will take the student the entire first and second didactic semesters to complete.

Level II training begins at the beginning of Clinical Internship II (summer) and will take the student

through the second fall academic semester to complete.

Level III training begins during the second winter intersession and will be completed when the student

completes all required program tasks and competencies.

Area Level

Emergency Department/Trauma I II III

General Radiography I II III

Portable I II III

Fluoroscopy *I II III

Pediatric/Newborn *I II III

Gastro-Intestinal *I II III

Operating Room and Cysto *I II III

QA *II III

Interventional Radiography (optional) *III

MRI (optional) *III

CT (optional) *III

Cardiovascular (optional) *III

*Introductory rotation only

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38 Radiography

Utilizing the Evaluation System

The rotation evaluation forms contain general and specific task objectives which are to be used to assess the

student’s progress in each clinical area. During the last week of the rotation, the student is evaluated on the

expected clinical performance objectives for the rotation. These evaluations are to be discussed with the

student pointing out strengths as well as weaknesses. Failed objectives are documented and addressed

through action plans and follow up. Failed rotation evaluations will be reviewed on a case by case basis and

could result in a semester grade of F. Evaluation forms are submitted to the Clinical Coordinator for review

and the documentation. Students are encouraged to copy any forms submitted for review and evaluation in

the event that a document gets lost. Students will meet with the Clinical Coordinator monthly to review

evaluations, competencies and all other pertinent clinical documentation.

While in the clinical setting, the student must complete and document all performance objectives prior to the

last day of each rotation to earn a passing grade. To remain eligible for continuance of clinical studies,

students must show progressive and consistent advancement of skills. This is a competency based program

so the student must master and maintain all past performance objectives through the final rotation.

The clinical rotation evaluations are set up so that the first component contains behavioral skills as they

pertain to patient care, technical skills, professionalism and organization.

The clinical behavioral objectives will be scored as follows:

Y - Meets Objectives

U - Needs improvement

N - Does not meet objective

N/A - Not applicable

The second component pertains to specific tasks required for each area of training. The clinical task

objectives (Levels I, II, III) are scored pass or fail.

Clinical Grade

The clinical grade consists of the following task objectives:

Clinical rotation evaluations

Maintenance of daily clinical log book

Completion of expected competencies

Attendance and Punctuality

Failure to achieve competence in any task objective will result in failing at any level will result in a failure

for that rotation. A student may request an incomplete for the semester with a given period of time (not to

overlap a succeeding clinical practicum) to make up the task(s).

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39 Radiography

Method of Competency

As required by the American Registry of Radiologic Technologists, students must demonstrate competence

in all 37 procedures identified as mandatory (M). Candidates must demonstrate competence in 15 of the 34

elective (E) procedures. By the end of the Program, all students will complete a total of 52 competency

exams. Candidates must select one elective procedure from the head section. Candidates must select either

Upper GI or Barium Enema plus one other elective from the fluoroscopy section (Appendix G)

Institutional protocol will determine the positions or projections used for each procedure.

Demonstration of competence includes requisition evaluation, patient assessment, room preparation, patient

management, equipment operation, technique selection, positioning skills, radiation safety, image

processing, and image evaluation.

At each level of training, the student will be responsible for completing a certain number of competencies

for the respective clinical semester.

During the student’s clinical education, the Clinical Coordinator or instructors will provide the students with

laboratory demonstration of exams and procedures being taught in the academic classroom. Each semester,

new exams/procedures will be taught. The student will be responsible for obtaining competence in these

examinations prior to moving on to the next level of training.

The competencies are to be acquired in a timely manner, as follows:

Fall Semester I/Winter Intersession I minimum of 2 total competencies

Spring Semester I minimum of 10 additional competencies

Summer Internship minimum of 15 additional competencies

Fall Semester II minimum of 12 additional competencies

Winter Intersession II minimum of 2 additional competencies

Spring Semester II minimum of 11 additional competencies

Should the student fail to meet the required amount of competencies needed at any point in the Program,

he/she may request an incomplete grade for the respective clinical practicum with a specified time frame to

complete the requirements. This time frame will not extend into the succeeding clinical practicum. If a

student does not fulfill these requirements, he/she will be removed from the clinic and must repeat the

clinical semester.

Students are expected to master and document competency in all procedures identified on the Program’s

Procedure Checklist. The student is responsible for reinforcing the materials presented in classroom lecture

and lab practical through active participation in the clinical setting. Once a student has documented

thorough knowledge of a procedure, he/she must demonstrate that knowledge to a qualified clinical

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40 Radiography

instructor. The instructor evaluates the student’s ability according to the Program’s criteria for performance

evaluation. The Clinical Coordinator will record the competency evaluation for each student in the master

file. The daily clinical log book is also maintained. The student is required to document every procedure in

which he/she participates, prior to and following achievement of competency.

This document verifies that a student has met the following criteria in preparation for being tested for

competency:

1. Attended lecture on subject matter.

2. Attended and participated in energized simulation laboratory on subject

matter.

3. Performed procedure under direct supervision with limited assistance from

technologist.

4. Performed procedure under direct supervision with no assistance and

completes a Knowledge Assessment of the procedure.

5. Once the Knowledge Assessment is corrected and signed by the Clinical

Coordinator or instructor, the student may test for competency under direct

supervision at the next opportunity.

Once tested for competency and evaluated, the exam is recorded on the Clinical Coordinator’s master

procedure checklist. Should the student fail to maintain competence in any exam/procedure throughout the

duration of the Program, the student may be required to extend their clinical education in order to receive

remediation as necessary. The student cannot exit the Program until such time that all stated performance

objectives and competencies are met to the satisfaction of the Clinical Coordinator and Program Director.

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41 Radiography

Documentation and Records

Orientation Sign-Off Sheet

Student has read and understands all program policies and requirements.

Clinical Evaluation Instrument

Patient Care Skills

Behavior Skills

Overall Performance

Technical Skills

Task Objectives

Clinical Log Book

Record of Clinical Experience, Practice and Knowledge Assessment

Clinical Lab Evaluation

Clinical Competency Form

Equipment In-Service Checklist

Radiographic Procedure Checklist

Exam and procedures to accomplish prior to graduation

Exit Competency Guideline/Evaluation

Assessment to establish the student’s final competence of all aspects of clinical

training

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42 Radiography

RADIOGRAPHY PROGRAM CLINICAL INSTRUCTORS AND EVALUATORS

*GCC Radiography Program Clinical Instructors

*The clinical instructors listed above are part time employees of the College and work with students at all

clinical affiliates. They report directly to the Clinical Coordinator and are available for hands on

remediation for all students. If a student would like to set up time for remediation, they must make

arrangements with the Clinical Coordinator directly.

Bridgeport Hospital Clinical Instructors

Gina Foote

Jacqueline Peccerillo

Trisha Pitcher

Cindy Rodrigues

Donna Travali

Bridgeport Hospital Clinical Evaluators

Griffin Hospital / IvyBrook Clinical Instructors

Donna Costanzo

JoAnn Skelly

Reg Body Daniel Oliver

Jennifer Fritzche Jacqueline Peccerillo

Greg Getman Kelly Thomas

Gina Giaquinto Donna Travali

Erin Levison

Janice Caserta Margaret McGovern

Timea Czimadea Nancy O’Brien

Donna Colby Olga Ovcharenko

Linda Egan Valerie Sandor

Diane Grady Elizabeth Sorensen

Sandra Hawker John Tartaglia

Frank Kalson Roberta Torselli

Scott Kudravy

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43 Radiography

VA Connecticut Healthcare System (West Haven) Clinical Instructors

Jessica Prutting

Jeffrey Rodriguez

Bozena Zieba

Yale- New Haven Hospital Clinical Instructors

Heather Choquette Lisa O’Hare – Long wharf Spine Center

Karen Crisci Bianca Onofrio

Jennifer Fritzche Nikki Sacco – Milford Sports Medicine

Heslyn Gordon – Long Wharf Pedi Michele Schusky

Kathy Halligan Michael Sporacio

Jahmil Joseph Kelly Thomas

Erin Levison – Sports Medicine Guilford Elizabeth Turley

James Monroe - YPB

Yale – New Haven Hospital Clinical Evaluators

Ellen Aub Linda Mucci

Louise Coppola Donna Riccitelli

Kristine Jacinski Christina Risk - Adams

Adrienne Keeler Stacy Stuart

Gail Mitchell Dana Vilella

Yale – New Haven Hospital (St. Raphael’s Campus) Clinical Instructors

Frances Ballard

Kathryn Mendillo

Shannon Vansteenburgh

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44 Radiography

APPENDICES

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45 Radiography

Appendix A

Radiography Plan of Study

Freshman Year, Fall Semester:

ENG*101 English Composition 3 credits

MAT*172 College Algebra 3 credits

RAD*104 Introduction to Radiography 3 credits

RAD*105 Radiographic Anatomy & Procedures I 3 credits

RAD*193 Clinical Practicum I 2 credit

Total Credits 14

Freshman Year, Winter Intersession:

RAD*187 Clinical Internship I .5 credit

Total Credits .5

Freshman Year, Spring Semester:

ENG*102 Literature and Composition 3 credits

Or

ENG*200 Advanced Composition 3 credits

RAD*194 Clinical Practicum II 2 credit

RAD*204 Radiographic Anatomy & Procedures II 3 credits

RAD*116 Physics in Radiography 3 credits

Total Credits 11

Freshman Year, Summer Session:

RAD*188 Clinical Internship II 4 credits

Total Credits 4

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46 Radiography

Sophomore Year, Fall Semester:

PSY*111 General Psychology I 3 credits

RAD*196 Radiographic Anatomy & Procedures III 3 credits

RAD*203 Principles of Radiographic Exposure 3 credits

RAD*215 Radiographic Pathology 3 credits

RAD*222 Radiobiology and Protection 3 credits

RAD*291 Clinical Practicum III 3 credits

Total Credits 18

Sophomore Year, Winter Intersession:

RAD*286 Clinical Internship III .5 credit

Total Credits .5

Sophomore Year, Spring Semester:

RAD*205 Computers in Medical Imaging 3 credits

RAD*206 Quality Assurance 3 credits

RAD*218 Senior Seminar 3 credits

RAD*292 Clinical Practicum IV 3 credit

Total Credits 12

Total Program Credits 60

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47 Radiography

APPENDIX B

Standards

for an Accredited Educational

Program in Radiography

EFFECTIVE JANUARY 1, 2014

Adopted by:

The Joint Review Committee on Education

in Radiologic Technology - October 2013

Joint Review Committee on Education in Radiologic Technology

20 N. Wacker Drive, Suite 2850

Chicago, IL 60606-3182

312.704.5300 ● (Fax) 312.704.5304

www.jrcert.org

The Joint Review Committee on Education in Radiologic Technology (JRCERT) is dedicated to excellence in

education and to the quality and safety of patient care through the accreditation of educational programs in the

radiologic sciences.

The JRCERT is the only agency recognized by the United States Department of Education (USDE) and the Council

on Higher Education Accreditation (CHEA) for the accreditation of traditional and distance delivery educational

programs in radiography, radiation therapy, magnetic resonance, and medical dosimetry. The JRCERT awards

accreditation to programs demonstrating substantial compliance with these STANDARDS.

Copyright © 2014 by the JRCERT

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Introductory Statement

The Joint Review Committee on Education in Radiologic Technology (JRCERT) Standards for an Accredited

Educational Program in Radiography are designed to promote academic excellence, patient safety, and quality

healthcare. The STANDARDS require a program to articulate its purposes; to demonstrate that it has adequate human,

physical, and financial resources effectively organized for the accomplishment of its purposes; to document its

effectiveness in accomplishing these purposes; and to provide assurance that it can continue to meet accreditation

standards.

The JRCERT accreditation process offers a means of providing assurance to the public that a program meets specific

quality standards. The process helps to maintain program quality and stimulates program improvement through program

assessment.

There are six (6) standards. Each standard is titled and includes a narrative statement supported by specific objectives.

Each objective, in turn, includes the following clarifying elements:

Explanation - provides clarification on the intent and key details of the objective.

Required Program Response - requires the program to provide a brief narrative and/or documentation that

demonstrates compliance with the objective.

Possible Site Visitor Evaluation Methods - identifies additional materials that may be examined and personnel

who may be interviewed by the site visitors at the time of the on-site evaluation to help determine if the program

has met the particular objective. Review of additional materials and/or interviews with listed personnel is at

the discretion of the site visit team.

Following each standard, the program must provide a Summary that includes the following:

Major strengths related to the standard

Major concerns related to the standard

The program’s plan for addressing each concern identified

Describe any progress already achieved in addressing each concern

Describe any constraints in implementing improvements

The submitted narrative response and/or documentation, together with the results of the on-site evaluation

conducted by the site visit team, will be used by the JRCERT Board of Directors in determining the program’s

compliance with the STANDARDS.

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49 Radiography

Standards for an Accredited Educational Program in Radiography

Table of Contents

Standard One: Integrity ...............................................................................................................4

The program demonstrates integrity in the following: representations to communities of

interest and the public, pursuit of fair and equitable academic practices, and

treatment of, and respect for, students, faculty, and staff.

Standard Two: Resources ..........................................................................................................23

The program has sufficient resources to support the quality and effectiveness of the

educational process.

Standard Three: Curriculum and Academic Practices ...........................................................35

The program’s curriculum and academic practices prepare students for professional

practice.

Standard Four: Health and Safety ............................................................................................47

The program’s policies and procedures promote the health, safety, and optimal use of

radiation for students, patients, and the general public.

Standard Five: Assessment ........................................................................................................57

The program develops and implements a system of planning and evaluation of student

learning and program effectiveness outcomes in support of its mission.

Standard Six: Institutional/Programmatic Data......................................................................64

The program complies with JRCERT policies, procedures, and STANDARDS to achieve and

maintain specialized accreditation.

Awarding, Maintaining, and Administering Accreditation .....................................................73

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Standard One

Integrity

Standard One: The program demonstrates integrity in the following:

Representations to communities of interest and the public,

Pursuit of fair and equitable academic practices, and

Treatment of, and respect for, students, faculty, and staff.

Objectives:

In support of Standard One, the program:

1.1 Adheres to high ethical standards in relation to students, faculty, and staff.

1.2 Provides equitable learning opportunities for all students.

1.3 Provides timely, appropriate, and educationally valid clinical experiences for each admitted student.

1.4 Limits required clinical assignments for students to not more than 10 hours per day and the total

didactic and clinical involvement to not more than 40 hours per week.

1.5 Assures the security and confidentiality of student records, instructional materials, and other

appropriate program materials.

1.6 Has a grievance procedure that is readily accessible, fair, and equitably applied.

1.7 Assures that students are made aware of the JRCERT Standards for an Accredited Educational

Program in Radiography and the avenue to pursue allegations of non-compliance with the

STANDARDS.

1.8 Has publications that accurately reflect the program’s policies, procedures, and offerings.

1.9 Makes available to students, faculty, and the general public accurate information about admission

policies, tuition and fees, refund policies, academic calendars, clinical obligations, grading system,

graduation requirements, and the criteria for transfer credit.

1.10 Makes the program’s mission statement, goals, and student learning outcomes readily available to

students, faculty, administrators, and the general public.

1.11 Documents that the program engages the communities of interest for the purpose of continuous

program improvement.

1.12 Has student recruitment and admission practices that are non-discriminatory with respect to any

legally protected status such as race, color, religion, gender, age, disability, national origin, and any

other protected class.

1.13 Has student recruitment and admission practices that are consistent with published policies of the

sponsoring institution and the program.

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1.14 Has program faculty recruitment and employment practices that are non-discriminatory with respect

to any legally protected status such as race, color, religion, gender, age, disability, national origin,

and any other protected class.

1.15 Has procedures for maintaining the integrity of distance education courses.

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52 Radiography

1.1 Adheres to high ethical standards in relation to students, faculty, and staff.

Explanation:

High ethical standards help assure that the rights of students, faculty, and staff are protected. Policies and

procedures must be fair, equitably applied, and promote professionalism.

Required Program Response:

Describe the procedure for making related policies and procedures known.

Provide copies of policies and procedures that assure equitable treatment of students, faculty, and

staff.

Possible Site Visitor Evaluation Methods:

Review of student handbook

Review of employee/faculty handbook

Review of course catalog

Review of student records

Interviews with faculty

Interviews with students

Interviews with staff

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1.2 Provides equitable learning opportunities for all students.

Explanation:

The provision of equitable learning activities promotes a fair and impartial education and reduces

institutional and/or program liability. The program must provide equitable learning opportunities for all

students regarding learning activities and clinical assignments. For example, if an opportunity exists for

students to observe or perform breast imaging, then all students must be provided the same opportunity. If

evening and/or weekend rotations are utilized, this opportunity must be equitably provided for all students.

Required Program Response:

Describe how the program assures equitable learning opportunities for all students.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of master plan of education

Review of course objectives

Review of student clinical assignment schedules

Interviews with faculty

Interviews with clinical instructors

Interviews with clinical staff

Interviews with students

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54 Radiography

1.3 Provides timely, appropriate, and educationally valid clinical experiences for

each admitted student.

Explanation:

Programs must have a process in place to provide timely, appropriate, and educationally valid clinical experiences to

all students admitted to the program. Students must have sufficient access to clinical settings that provide a wide

range of procedures for competency achievement including mobile, surgical, and trauma examinations. Clinical

settings may include hospitals, clinics, specialty/imaging centers, orthopedic centers, and other facilities. With the

exception of observation site assignments, students must be provided the opportunity to complete required program

competencies during clinical assignments. Clinical placement must be non-discriminatory in nature and solely

determined by the program.

A meaningful clinical education plan assures that activities are educationally valid and prevents the use of students as

replacements for employees. The maximum number of students assigned to a clinical setting must be supported by

sufficient human and physical resources. The number of students assigned to the clinical setting must not exceed the

number of clinical staff assigned to the radiography department. The student to radiography clinical staff ratio must

be 1:1. However, it is acceptable that more than one student may be temporarily assigned to one technologist during

uncommonly performed procedures.

Students assigned to advanced imaging modalities, such as computed tomography, magnetic resonance, angiography,

and sonography, are not included in the calculation of the authorized clinical capacity (unless the clinical setting is

recognized exclusively for advanced imaging modality rotations). Once the students have completed the advanced

imaging assignments, the program must assure that there are sufficient clinical staff to support the students upon

reassignment to the radiography department.

The utilization of clinical assignments such as file room, reception area, and patient transportation should be limited.

Additionally, traditional programs that require students to participate in clinical education during evenings and/or

weekends must assure that:

students’ clinical clock hours spent in evening and/or weekend assignments must not exceed 25% of the total

clinical clock hours.

program total capacity is not increased through the use of evening and/or weekend assignments.

The JRCERT defines the operational hours of traditional programs as Monday - Friday, 5:00 a.m. - 7:00 p.m.

Programs may permit students to make up clinical time during term or scheduled breaks; however, they may not be

assigned to clinical settings on holidays that are observed by the sponsoring institution. Program faculty need not be

physically present; however, students must be able to contact program faculty during makeup assignments. Also, the

program must assure that its liability insurance covers students during these makeup assignments.

Required Program Response:

Describe the process for student clinical placement.

Provide current student assignment schedules in relation to student enrollment.

Describe how the program assures a 1:1 student to radiography clinical staff ratio at all clinical settings.

Describe how the program assures that all students have access to a sufficient variety and volume of

procedures to achieve program competencies.

Submit evening and/or weekend rotation(s) calculations, if applicable.

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55 Radiography

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review listing of enrolled students in relation to clinical assignments, including evening and/or weekend, if

applicable

Review of clinical placement process

Review of student clinical records

Interviews with faculty

Interviews with clinical instructors

Interviews with students

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1.4 Limits required clinical assignments for students to not more than 10 hours per day and the

total didactic and clinical involvement to not more than 40 hours per week.

Explanation:

This limitation helps assure that students are treated ethically. For the safety of students and patients, not

more than ten (10) clinical hours shall be scheduled in any one day. Scheduled didactic and clinical hours

combined cannot exceed forty (40) hours per week. Hours exceeding these limitations must be voluntary on

the student’s part.

Required Program Response:

Describe the process for assuring that time limitations are not exceeded.

Provide documentation that required student clinical assignments do not exceed ten (10) hours in any

one day and the total didactic and clinical involvement does not exceed forty (40) hours per week.

Possible Site Visitor Evaluation Methods:

Review of master plan of education

Review of published program materials

Review of student schedules

Interviews with faculty

Interviews with clinical instructor(s)

Interviews with clinical staff

Interviews with students

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1.5 Assures the security and confidentiality of student records, instructional materials, and other

appropriate program materials.

Explanation:

Appropriately maintaining the security and confidentiality of student records and other program materials

protects the student’s right to privacy. Student records must be maintained in accordance with the Family

Education Rights and Privacy Act (Buckley Amendment). If radiation monitoring reports contain students’

dates of birth and/or social security numbers, this information must be maintained in a secure and

confidential manner.

Required Program Response:

Describe how the program maintains the security and confidentiality of student records and other program

materials.

Possible Site Visitor Evaluation Methods:

Review of institution’s/program’s published policies/procedures

Review of student academic and clinical records

Tour of program offices

Tour of clinical setting(s)

Interviews with administrative personnel

Interviews with faculty

Interviews with clinical instructor(s)

Interviews with clinical staff

Interviews with students

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1.6 Has a grievance procedure that is readily accessible, fair, and equitably applied.

Explanation:

A grievance is defined as a claim by a student that there has been a violation, misinterpretation, or inequitable

application of any existing policy, procedure, or regulation. The program must have procedures to provide students

an avenue to pursue grievances. The procedure must outline the steps for formal resolution of any grievance. The

final step in the process must not include any individual(s) directly associated with the program (e.g., program

director, clinical coordinator, clinical instructors, diagnostic imaging department director). The procedure must assure

timely resolution. The program must maintain a record of all formal grievances and their resolution. Records must be

retained in accordance with the institution’s/program’s retention policies/procedures. The records must include

information on how the grievance was resolved and assurance that there are no trends that could negatively affect the

quality of the educational program.

Additionally, the program must have a procedure to address any complaints apart from those that require invoking the

grievance procedure. The program must determine if a pattern of complaint exists that could negatively affect the

quality of the educational program (e.g., cleanliness of the classroom).

Required Program Response:

Describe the nature of any formal grievance(s) that would jeopardize the program’s ability to meet its mission.

Describe the nature of any complaint(s) that would jeopardize the program’s ability to meet its mission.

Provide a copy of the grievance procedure.

Provide a copy of any formal grievance(s) resolution.

Possible Site Visitor Evaluation Methods:

Review of institutional catalog

Review of student handbook

Review of formal grievance(s) record(s), if applicable

Review of complaint(s) record(s), if applicable

Interviews with faculty

Interviews with students

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1.7 Assures that students are made aware of the JRCERT Standards for an Accredited

Educational Program in Radiography and the avenue to pursue allegations of non-compliance with

the STANDARDS.

Explanation:

The program must assure students are cognizant of the STANDARDS and must provide contact information

for the JRCERT.

Students have the right to submit allegations against a JRCERT-accredited program if there is reason to

believe that the program has acted contrary to JRCERT accreditation standards or that conditions at the

program appear to jeopardize the quality of instruction or the general welfare of its students.

Contact of the JRCERT should not be a step in the formal institutional/program grievance procedure. The

individual must first attempt to resolve the complaint directly with institution/program officials by following

the grievance procedures provided by the institution/program. If the individual is unable to resolve the

complaint with institution/program officials or believes that the concerns have not been properly addressed,

he or she may submit allegations of non-compliance directly to the JRCERT.

Required Program Response:

Describe the procedure for making students aware of the STANDARDS.

Describe how students are provided contact information for the JRCERT.

Possible Site Visitor Evaluation Methods:

Review of program publications

Interviews with faculty

Interviews with students

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1.8 Has publications that accurately reflect the program’s policies, procedures, and offerings.

Explanation:

Maintaining published information regarding the program’s current policies, procedures, and offerings

provides interested parties with an accurate overview of program requirements and expectations.

Required Program Response:

Provide program publications that reflect program policies, procedures and offerings.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of student handbook

Interviews with faculty

Interviews with students

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1.9 Makes available to students, faculty, and the general public accurate information about

admission policies, tuition and fees, refund policies, academic calendars, clinical obligations,

grading system, graduation requirements, and the criteria for transfer credit.

Explanation:

The institutional and/or program policies must be published and made readily available to students, faculty, and the

general public on the institution’s/program’s Web site to assure transparency and accountability of the educational

program. For example, requiring the general public to contact the institution/program to request program information

is not adequate. Policy changes must be made known to students, faculty, and the general public in timely fashion. It

is recommended that revision dates be identified on program publications.

The institution and/or program must establish and publicly disclose the criteria used when determining the transfer of

credit earned from other institutions and/or programs. Also, programs must publicly disclose a list of institutions with

which the program has established an articulation agreement.

The program’s academic calendar must be published and, at a minimum, identify specific start and end dates for each

term, holidays recognized by the sponsoring institution, and breaks.

Student clinical obligations (e.g., drug screening, background checks, and associated fees) must be clearly identified

in appropriate program publications. Additionally, if evening and/or weekend clinical assignments are required or if

students must travel to geographically-dispersed clinical settings, this information must also be included.

Required Program Response:

Describe how institutional and/or program policies are made known to students, faculty, and the general

public.

Provide publications that include these policies.

Possible Site Visitor Evaluation Methods:

Review of institutional materials

Review of published program materials

Review of institutional and/or program Web site

Interviews with faculty

Interviews with Admissions personnel

Interviews with Registrar

Interviews with students

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1.10 Makes the program’s mission statement, goals, and student learning outcomes readily

available to students, faculty, administrators, and the general public.

Explanation:

Program accountability is enhanced by making its mission statement, goals, and student learning outcomes available

to the program’s communities of interest on the institution’s/program’s Web site to assure transparency and

of the educational program. Requiring the general public to contact the institution/program to request program

information is not adequate.

Example:

Mission:

The mission of the radiography program is to prepare competent, entry-level radiographers able to

function within the healthcare community.

Goal: Students will be clinically competent.

Student Learning Outcomes: Students will apply positioning skills.

Students will select technical factors.

Students will utilize radiation protection.

Goal: Students will demonstrate communication skills.

Student Learning Outcomes: Students will demonstrate written communication skills.

Students will demonstrate oral communication skills.

Goal: Students will develop critical thinking skills.

Student Learning Outcomes: Students will adapt standard procedures for non-routine patients.

Students will critique images to determine diagnostic quality.

Goal: Students will model professionalism.

Student Learning Outcomes: Students will demonstrate work ethics.

Students will summarize the value of life-long learning.

Required Program Response:

Describe how the program makes its mission statement, goals, and student learning outcomes

available to students, faculty, administrators, and the general public.

Provide copies of publications that contain the program’s mission statement, goals, and student

learning outcomes.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of institutional and/or program Web site

Interviews with administrative personnel

Interviews with faculty

Interviews with students

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1.11 Documents that the program engages the communities of interest for the purpose of

continuous program improvement.

Explanation:

Communities of interest are defined as institutions, organizations, groups, and/or individuals interested in

educational activities in radiography. Obtaining formal feedback on program operations, student progress,

employer needs, etc. from communities of interest allows the program to determine if it is meeting

expectations and assures continuous program improvement. The program can use a variety of tools to

obtain this feedback.

Required Program Response:

Describe the process of obtaining feedback.

Provide representative samples of appropriate meeting minutes, evaluations (e.g., course and

faculty), and surveys (e.g., graduate and employer).

Possible Site Visitor Evaluation Methods:

Review of meeting minutes

Review of evaluations

Review of surveys

Interviews with members of various communities of interest

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1.12 Has student recruitment and admission practices that are non-discriminatory with respect to

any legally protected status such as race, color, religion, gender, age, disability, national origin,

and any other protected class.

Explanation:

Non-discriminatory practices assure applicants have equal opportunity for admission. Statistical

information such as race, color, religion, gender, age, disability, national origin, and any other protected

class may be collected; however, this information must be voluntarily provided by the student. Use of this

information in the student selection process is discriminatory.

Required Program Response:

Describe how admission practices are non-discriminatory.

Provide institutional and/or program admission policies.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of student records

Interviews with faculty

Interviews with Admissions personnel

Interviews with students

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1.13 Has student recruitment and admission practices that are consistent with published policies of

the sponsoring institution and the program.

Explanation:

Defined admission practices facilitate objective student selection. In considering applicants for admission,

the program must follow published policies and procedures.

Required Program Response:

Describe the implementation of institutional and program admission policies.

Provide institutional and program admission policies.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Interviews with faculty

Interviews with Admissions personnel

Interviews with students

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1.14 Has program faculty recruitment and employment practices that are non-discriminatory with

respect to any legally protected status such as race, color, religion, gender, age, disability,

national origin, and any other protected class.

Explanation:

Recruitment and employment practices that are non-discriminatory assure fairness and integrity. Equal

opportunity for employment must be offered to each applicant. Employment practices must be applied

equitably to all faculty.

Required Program Response:

Describe how non-discriminatory employment practices are assured.

Provide copies of employment policies and procedures that assure non-discriminatory practices.

Possible Site Visitor Evaluation Methods:

Review of employee/faculty handbook

Review of employee/faculty application form

Review of institutional catalog

Interviews with faculty

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1.15 Has procedures for maintaining the integrity of distance education courses.

Explanation:

Programs that offer distance education must have processes in place that assure that the students who

register in the distance education courses are the same students that participate in, complete, and receive the

credit. Programs must verify the identity of students by using methods such as, but not limited to: secure

log-ins, pass codes, and/or proctored exams. These processes must protect the student’s privacy. Student

costs associated with distance education must be disclosed.

Required Program Response:

Describe the process for assuring the integrity of distance education courses.

Provide published program materials that outline procedures for maintaining integrity of distance

education courses.

Provide published program materials that identify associated fees for students enrolled in distance

education courses.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review the process of student identification

Review of student records

Interviews with faculty

Interviews with students

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Summary for Standard One

1. List the major strengths of Standard One, in order of importance.

2. List the major concerns of Standard One, in order of importance.

3. Provide the program’s plan for addressing each concern identified.

4. Describe any progress already achieved in addressing each concern.

5. Describe any constraints in implementing improvements.

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Standard Two:

Resources

Standard Two: The program has sufficient resources to support the quality and effectiveness of

the educational process.

Objectives:

In support of Standard Two, the program:

Administrative Structure

2.1 Has an appropriate organizational structure and sufficient administrative support to achieve

the program’s mission.

2.2 Provides an adequate number of faculty to meet all educational, program, administrative,

and accreditation requirements.

2.3 Provides faculty with opportunities for continued professional development.

2.4 Provides clerical support services, as needed, to meet all educational, program, and

administrative requirements.

Learning Resources/Services

2.5 Assures JRCERT recognition of all clinical settings.

2.6 Provides classrooms, laboratories, and administrative and faculty offices to facilitate the

achievement of the program’s mission.

2.7 Reviews and maintains program learning resources to assure the achievement of student

learning.

2.8 Provides access to student services in support of student learning.

Fiscal Support

2.9 Has sufficient ongoing financial resources to support the program’s mission.

2.10 For those institutions and programs for which the JRCERT serves as a gatekeeper for

Title IV financial aid, maintains compliance with United States Department of Education

(USDE) policies and procedures.

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2.1 Has an appropriate organizational structure and sufficient administrative support to achieve

the program’s mission.

Explanation:

The program’s relative position in the organizational structure helps facilitate appropriate resources and

assures focus on the program. To operate effectively, the program must have sufficient institutional

administrative support. Both organizational structure and administrative support enable the program to meet

its mission and promote student learning.

Required Program Response:

Describe the program’s relationship to the organizational and administrative structures of the

sponsoring institution and how this supports the program’s mission.

Provide institutional and program organizational charts.

Possible Site Visitor Evaluation Methods:

Review of organizational charts of institution and program

Review of meeting minutes

Review of published program materials

Review of master plan of education

Interviews with faculty and institutional officials

Interviews with clinical instructor(s)

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2.2 Provides an adequate number of faculty to meet all educational, program, administrative, and

accreditation requirements.

Explanation:

An adequate number of faculty promotes sound educational practices. A full-time program director is

required. Faculty teaching loads and release time must be consistent with those of comparable faculty in

other health science (allied health) programs in the same institution.

Additionally, a full-time equivalent clinical coordinator is required if the program has more than five (5)

active clinical settings or more than thirty (30) students enrolled in the clinical component. The clinical

coordinator position may be shared by no more than four (4) appointees. If a clinical coordinator is

required, the program director may not be identified as the clinical coordinator. The clinical coordinator

may not be identified as the program director.

The program director and clinical coordinator may perform clinical instruction; however, they may not be

identified as clinical instructors.

A minimum of one clinical instructor must be designated at each recognized clinical setting. The same

clinical instructor may be identified at more than one site as long as a ratio of one full-time equivalent

clinical instructor for every ten (10) students is maintained.

Required Program Response:

Provide, if available, institutional policies in relation to teaching loads and release time.

Describe faculty teaching loads and release time in relation to a comparable health science (allied

health) program within the institution.

Describe the adequacy of the number of faculty and clinical staff to meet identified accreditation

requirements and program needs.

Possible Site Visitor Evaluation Methods:

Review institutional policies in relation to teaching loads and release time

Review of master plan of education

Review of position descriptions

Review of clinical settings

Interviews with faculty

Interviews with clinical instructor(s)

Interviews with students

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2.3 Provides faculty with opportunities for continued professional development.

Explanation:

Continued professional development results in more knowledgeable, competent, and proficient faculty.

Opportunities that enhance and advance educational, technical, and professional knowledge must be

available to program faculty.

Required Program Response:

Describe how continued professional development opportunities are made available to faculty.

Possible Site Visitor Evaluation Methods:

Review of institutional and program policies

Review of program budget or other fiscal appropriations

Review of evidence of faculty participation in professional development activities

Interviews with administrative personnel

Interviews with faculty

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2.4 Provides clerical support services, as needed, to meet all educational, program, and

administrative requirements.

Explanation:

Clerical support services necessary to assist in meeting educational, program, and administrative

requirements of the program must be provided as appropriate.

Required Program Response:

Describe the availability and use of clerical support services.

Possible Site Visitor Evaluation Methods:

Review of program’s staffing plan

Interviews with administrative personnel

Interviews with faculty

Interviews with students

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2.5 Assures JRCERT recognition of all clinical settings.

Explanation:

JRCERT recognition helps assure an appropriate learning environment for student clinical education. All

clinical settings must be recognized by the JRCERT. Recognition of a clinical setting must be obtained

prior to student placement. A minimum of one (1) clinical instructor must be identified for each recognized

clinical setting.

An observation site is used for student observation of the operation of equipment and/or procedures. If the

program uses observation sites, these sites do not require recognition by the JRCERT. These sites provide

opportunities for observation of clinical procedures that may not be available at recognized clinical settings.

Students may not assist in, or perform, any aspects of patient care during observational assignments.

Facilities where students are participating in service learning projects or community-based learning

opportunities do not require recognition.

Required Program Response:

Assure all clinical settings are recognized by the JRCERT.

Describe how observation sites, if used, enhance student clinical education.

Possible Site Visitor Evaluation Methods:

Review of JRCERT database

Review of clinical records

Interviews with faculty

Interviews with clinical instructors

Interviews with clinical staff

Interviews with students

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2.6 Provides classrooms, laboratories, and administrative and faculty offices to facilitate the

achievement of the program’s mission.

Explanation:

Learning environments are defined as places, surroundings, or circumstances where knowledge,

understanding, or skills are studied or observed such as classrooms and laboratories. Learning environments

must be consistent with those of comparable health science programs in the same institution. Provision of

appropriate learning environments facilitates achievement of the program’s mission. Although a dedicated

classroom and/or laboratory are not required, scheduled accessibility to facilities conducive to student

learning must be assured. Faculty office space should be conducive to planning and scholarly activities.

Space should be made available for private student advisement.

Required Program Response:

Describe how classrooms, laboratories, and administrative and faculty offices facilitate the achievement of

the program’s mission.

Possible Site Visitor Evaluation Methods:

Tour of the classroom, laboratories, and administrative and faculty offices

Interviews with faculty

Interviews with students

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2.7 Reviews and maintains program learning resources to assure the achievement of student

learning.

Explanation:

The review and maintenance of learning resources promotes student knowledge of current and developing

imaging technologies. The program must provide learning resources to support and enhance the educational

program. These resources must include:

a print or electronic library with a variety of materials published within the last five years,

computer access, and

additional learning aids (e.g., educational software, classroom/laboratory accessory devices, etc.).

The JRCERT does not endorse any specific learning resources.

Required Program Response:

Describe the available learning resources.

Describe the procedure for review and maintenance of learning resources.

Possible Site Visitor Evaluation Methods:

Tour of learning facilities

Review of learning resources

Review of surveys

Review of meeting minutes

Interviews with faculty

Interviews with students

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2.8 Provides access to student services in support of student learning.

Explanation:

The provision of appropriate student services promotes student achievement. At a minimum, the program

must provide access to information for:

personal counseling,

requesting accommodations for disabilities as defined by applicable federal (Americans with

Disabilities Act) and state laws, and

financial aid.

Additional student services may be provided at the discretion of the program. These services should be

sufficient to assure student learning.

All services provided must be made known to students and the general public.

Required Program Response:

Describe the students’ access to student services.

Provide published program materials that outline accessibility to student services.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Interviews with faculty

Interviews with students

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2.9 Has sufficient ongoing financial resources to support the program’s mission.

Explanation:

Adequate, ongoing funding is necessary to accomplish the program’s mission and to support student

learning. The sponsoring institution must demonstrate ongoing financial commitment to the program and its

students by providing adequate human and physical resources.

Required Program Response:

Describe the adequacy of financial resources.

Provide copies of the program’s budget and/or expenditure records.

Possible Site Visitor Evaluation Methods:

Review of program budget and/or other fiscal appropriations

Interviews with administrative personnel

Interviews with faculty

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2.10 For those institutions and programs for which the JRCERT serves as gatekeeper for Title IV

financial aid, maintains compliance with United States Department of Education (USDE)

policies and procedures.

Explanation:

A gatekeeper is defined as an agency holding responsibility for oversight of the distribution, record keeping,

and repayment of Title IV financial aid. The program must comply with USDE requirements to participate

in Title IV financial aid.

If the program has elected to participate in Title IV financial aid and the JRCERT is identified as the

gatekeeper, the program must: maintain financial documents including audit and budget processes

confirming appropriate allocation and use of financial resources, have a monitoring process for student loan

default rates, have an appropriate accounting system providing documentation for management of Title IV

financial aid and expenditures, and inform students of responsibility for timely repayment of Title IV

financial aid.

Required Program Response:

Provide evidence that Title IV financial aid is managed and distributed according to the USDE

regulations to include:

o recent student loan default data and

o results of financial or compliance audits.

Describe how the program informs students of their responsibility for timely repayment of financial

aid.

Possible Site Visitor Evaluation Methods:

Review of records

Interviews with administrative personnel

Interviews with faculty

Interviews with students

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Summary for Standard Two

1. List the major strengths of Standard Two, in order of importance.

2. List the major concerns of Standard Two, in order of importance.

3. Provide the program’s plan for addressing each concern identified.

4. Describe any progress already achieved in addressing each concern.

5. Describe any constraints in implementing improvements.

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Standard Three

Curriculum and Academic Practices

Standard Three: The program’s curriculum and academic practices prepare students for

professional practice.

Objectives:

In support of Standard Three, the program:

3.1 Has a program mission statement that defines its purpose and scope and is periodically reevaluated.

3.2 Provides a well-structured, competency-based curriculum that prepares students to practice in the

professional discipline.

3.3 Provides learning opportunities in current and developing imaging and/or therapeutic technologies.

3.4 Assures an appropriate relationship between program length and the subject matter taught for the

terminal award offered.

3.5 Measures the length of all didactic and clinical courses in clock hours or credit hours.

3.6 Maintains a master plan of education.

3.7 Provides timely and supportive academic, behavioral, and clinical advisement to students enrolled in

the program.

3.8 Documents that the responsibilities of faculty and clinical staff are delineated and performed.

3.9 Evaluates program faculty and clinical instructor performance and shares evaluation results regularly

to assure instructional responsibilities are performed.

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3.1 Has a program mission statement that defines its purpose and scope and is periodically

reevaluated.

Explanation:

The program’s mission statement should be consistent with that of its sponsoring institution. The program’s

mission statement should clearly define the purpose or intent toward which the program’s efforts are

directed. Periodic evaluation assures that the program’s mission statement is effective.

Required Program Response:

Provide a copy of the program’s mission statement.

Provide meeting minutes that document periodic reevaluation of the mission statement.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of meeting minutes

Review of master plan of education

Interviews with faculty

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3.2 Provides a well-structured, competency-based curriculum that prepares students to practice in

the professional discipline.

Explanation:

The well-structured curriculum must be comprehensive, appropriately sequenced, include current

information, and provide for evaluation of student achievement. A competency-based curriculum allows for

effective student learning by providing a knowledge foundation prior to performance of procedures.

Continual refinement of the competencies achieved is necessary so that students can demonstrate enhanced

performance in a variety of situations and patient conditions. In essence, competency-based education is an

ongoing process, not an end product.

Programs must follow a JRCERT-adopted curriculum. An adopted curriculum is defined as:

the latest American Society of Radiologic Technologists professional curriculum and/or

another professional curriculum adopted by the JRCERT Board of Directors following review

and recommendation by the JRCERT Standards Committee.

Use of a standard curriculum promotes consistency in radiography education and prepares the student to

practice in the professional discipline. At a minimum, the curriculum should promote qualities that are

necessary for students/graduates to practice competently, make good decisions, assess situations, provide

appropriate patient care, communicate effectively, and keep abreast of current advancements within the

profession. Expansion of the curricular content beyond the minimum is at the discretion of the program.

The program must submit the latest curriculum analysis grid (available at www.jrcert.org).

Required Program Response:

Describe how the program’s curriculum is structured.

Describe the program’s competency-based system.

Submit current curriculum analysis grid.

Describe how the program's curriculum is delivered, including the method of delivery for distance

education courses.

Identify which courses, if any, are offered via distance education.

Describe alternative learning options, if applicable (e.g., part-time, evening and/or weekend

curricular track).

Possible Site Visitor Evaluation Methods:

Review of master plan of education

Review of didactic and clinical curriculum sequence

Review of analysis of graduate and employer surveys

Interviews with faculty

Interviews with students

Observation of a portion of any course offered via distance delivery

Review of part-time, evening and/or weekend curricular track, if applicable

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3.3 Provides learning opportunities in current and developing imaging and/or therapeutic

technologies.

Explanation:

The program must provide learning opportunities in current and developing imaging and/or therapeutic

technologies. It is the program’s prerogative to decide which technologies should be included in the didactic

and/or clinical curriculum. Programs are not required to offer clinical rotations in developing imaging

and/or therapeutic technologies; however, these clinical rotations are strongly encouraged to enhance

student learning.

Required Program Response:

Describe how the program provides opportunities in developing technologies in the didactic and/or clinical

curriculum.

Possible Site Visitor Evaluation Methods:

Review of master plan of education

Interviews with faculty

Interviews with students

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3.4 Assures an appropriate relationship between program length and the subject matter taught for

the terminal award offered.

Explanation:

Program length must be consistent with the terminal award. The JRCERT defines program length as the

duration of the program, which may be stated as total academic or calendar year(s), total semesters,

trimesters, or quarters.

Required Program Response:

Describe the relationship between the program length and the terminal award offered.

Possible Site Visitor Evaluation Methods:

Review of course catalog

Review of published program materials

Review of class schedules

Interviews with faculty

Interviews with students

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3.5 Measures the length of all didactic and clinical courses in clock hours or credit hours.

Explanation:

Defining the length of didactic and clinical courses facilitates student transfer of credit and the awarding of

financial aid. The formula for calculating assigned clock/credit hours must be consistently applied for all

didactic and all clinical courses, respectively.

Required Program Response:

Describe the method used to award credit hours for lecture, laboratory and clinical courses.

Provide a copy of the program’s policies and procedures for determining credit hours and an

example of how such policy has been applied to the program’s coursework.

Provide a list of all didactic and clinical courses with corresponding clock or credit hours.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of class schedules

Interviews with faculty

Interviews with students

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3.6 Maintains a master plan of education.

Explanation:

A master plan provides an overview of the program and allows for continuity among, and documentation of,

all aspects of the program. In the event of new faculty and/or leadership to the program, the master plan

provides the information needed to understand the program and its operations.

The plan should be evaluated annually, updated, and must include the following:

course syllabi (didactic and clinical courses) and

program policies and procedures.

While there is no prescribed format for the master plan, the component parts should be identified and readily

available. If the components are not housed together, the program must list the location of each component.

If the program chooses to use an electronic format, the components must be accessible by all program

faculty.

Required Program Response:

Identify the location of the component parts of the master plan of education.

Provide a Table of Contents for the program’s master plan.

Possible Site Visitor Evaluation Methods:

Review of master plan of education

Interview with program director

Interviews with faculty

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3.7 Provides timely and supportive academic, behavioral, and clinical advisement to students

enrolled in the program.

Explanation:

Appropriate advisement promotes student achievement. Student advisement should be formative,

summative, and must be shared with students in a timely manner. Programs are encouraged to develop

written advisement procedures.

Required Program Response:

Describe procedures for advisement.

Provide sample records of student advisement.

Possible Site Visitor Evaluation Methods:

Review of students’ records

Interviews with faculty

Interviews with clinical instructor(s)

Interviews with students

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3.8 Documents that the responsibilities of faculty and clinical staff are delineated and performed.

Full-time Program Director:

Assures effective program operations,

Oversees ongoing program assessment,

Participates in budget planning,

Maintains current knowledge of the professional discipline and educational methodologies through

continuing professional development, and

Assumes the leadership role in the continued development of the program.

Full-time Clinical Coordinator:

Correlates clinical education with didactic education,

Evaluates students,

Participates in didactic and/or clinical instruction,

Supports the program director to help assure effective program operation,

Coordinates clinical education and evaluates its effectiveness,

Participates in the assessment process,

Cooperates with the program director in periodic review and revision of clinical course materials,

Maintains current knowledge of the discipline and educational methodologies through continuing

professional development, and

Maintains current knowledge of program policies, procedures, and student progress.

Full-time Didactic Program Faculty:

Prepares and maintains course outlines and objectives, instructs and evaluates students, and reports

progress,

Participates in the assessment process,

Supports the program director to help assure effective program operation,

Cooperates with the program director in periodic review and revision of course materials, and

Maintains appropriate expertise and competence through continuing professional development.

Part-time Didactic Program Faculty:

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Prepares and maintains course outlines and objectives, instructs and evaluates students, and reports

progress,

Participates in the assessment process, when appropriate,

Cooperates with the program director in periodic review and revision of course materials, and

Maintains appropriate expertise and competence through continuing professional development.

Clinical Instructor(s):

Is knowledgeable of program goals,

Understands the clinical objectives and clinical evaluation system,

Understands the sequencing of didactic instruction and clinical education,

Provides students with clinical instruction and supervision,

Evaluates students’ clinical competence,

Maintains competency in the professional discipline and instructional and evaluative techniques

through continuing professional development, and

Maintains current knowledge of program policies, procedures, and student progress.

Clinical Staff:

Understand the clinical competency system,

Understand requirements for student supervision,

Support the educational process, and

Maintain current knowledge of program policies, procedures, and student progress.

Explanation:

The clear delineation of responsibilities facilitates accountability. Faculty and clinical staff responsibilities must be

clearly delineated and must support the program’s mission.

Full- and part-time status is determined by, and consistent with, the sponsoring institution’s definition. At all times

when students are enrolled in didactic and/or clinical components, the program director and/or clinical coordinator

must assure that their program responsibilities are fulfilled.

Required Program Response:

Provide documentation that faculty and clinical staff positions are clearly delineated.

Possible Site Visitor Evaluation Methods:

Review of position descriptions

Review of handbooks

Interviews with faculty and clinical staff to assure responsibilities are being performed

Interviews with students

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3.9 Evaluates program faculty and clinical instructor performance and shares evaluation results

regularly to assure instructional responsibilities are performed.

Explanation:

The performance of program faculty and clinical instructor(s) must be evaluated minimally once per year. Evaluation

assures that instructional responsibilities are performed and provides administration and faculty with information to

evaluate performance. Evaluation promotes proper educational methodology and increases program effectiveness.

Evaluation results must be shared minimally once per year with the respective program faculty and clinical

instructor(s) being evaluated to assure continued professional development. Any evaluation results that identify

concerns must be discussed with the respective individual(s) as soon as possible.

Required Program Response:

Describe the evaluation process.

Describe how evaluation results are shared with program faculty and clinical instructor(s).

Provide samples of evaluations of program faculty.

Provide samples of evaluations of clinical instructor(s).

Possible Site Visitor Evaluation Methods:

Review of program evaluation materials

Review of clinical instructor evaluation

Interviews with administrative personnel

Interviews with program faculty

Interviews with clinical instructor(s)

Interviews with students

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Summary for Standard Three

1. List the major strengths of Standard Three, in order of importance.

2. List the major concerns of Standard Three, in order of importance.

3. Provide the program’s plan for addressing each concern identified.

4. Describe any progress already achieved in addressing each concern.

5. Describe any constraints in implementing improvements.

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Standard Four

Health and Safety

Standard Four: The program’s policies and procedures promote the health, safety, and optimal

use of radiation for students, patients, and the general public.

Objectives:

In support of Standard Four, the program:

4.1 Assures the radiation safety of students through the implementation of published policies and

procedures that are in compliance with Nuclear Regulatory Commission regulations and state laws

as applicable.

4.2 Has a published pregnancy policy that is consistent with applicable federal regulations and state

laws, made known to accepted and enrolled female students, and contains the following elements:

Written notice of voluntary declaration,

Option for student continuance in the program without modification, and

Option for written withdrawal of declaration.

4.3 Assures that students employ proper radiation safety practices.

4.4 Assures that medical imaging procedures are performed under the direct supervision of a qualified

radiographer until a student achieves competency.

4.5 Assures that medical imaging procedures are performed under the indirect supervision of a qualified

radiographer after a student achieves competency.

4.6 Assures that students are directly supervised by a qualified radiographer when repeating

unsatisfactory images.

4.7 Assures sponsoring institution’s policies safeguard the health and safety of students.

4.8 Assures that students are oriented to clinical setting policies and procedures in regard to health and

safety.

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4.1 Assures the radiation safety of students through the implementation of published policies and

procedures that are in compliance with Nuclear Regulatory Commission regulations and state laws as

applicable.

Explanation:

Appropriate policies and procedures help assure that student radiation exposure is kept as low as reasonably

achievable (ALARA). The program must maintain and monitor student radiation exposure data. This information

must be made available to students within thirty (30) school days following receipt of data. The program must have a

published protocol that identifies a threshold dose for incidents in which dose limits are exceeded. Programs are

encouraged to identify a threshold dose below those identified in NRC regulations.

Required Program Response:

Describe how the policies are made known to enrolled students.

Describe how radiation exposure data is made available to students.

Provide copies of appropriate policies.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of student records

Review of student dosimetry reports

Interviews with faculty

Interviews with students

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4.2 Has a published pregnancy policy that is consistent with applicable federal regulations and

state laws, made known to accepted and enrolled female students, and contains the following

elements:

Written notice of voluntary declaration,

Option for student continuance in the program without modification, and

Option for written withdrawal of declaration.

Explanation:

Appropriate radiation safety practices help assure that radiation exposure to the student and fetus are kept as

low as reasonably achievable (ALARA). The policy must include appropriate information regarding

radiation safety for the student and fetus. The program must allow for student continuance in the clinical

component of the program without modification. The program may offer clinical component options such

as: (1) clinical reassignments and/or (2) leave of absence.

Required Program Response:

Describe how the pregnancy policy is made known to accepted and enrolled female students.

Provide a copy of the program’s pregnancy policy.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of student records

Interviews with faculty

Interviews with clinical instructor(s)

Interviews with students

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4.3 Assures that students employ proper radiation safety practices.

Explanation:

The program must assure that students are instructed in the utilization of imaging equipment, accessories, optimal

exposure factors, and proper patient positioning to minimize radiation exposure to patients, selves, and others. These

practices assure radiation exposures are kept as low as reasonably achievable (ALARA).

Students must understand basic radiation safety practices prior to assignment to clinical settings. Students must not

hold image receptors during any radiographic procedure. Students should not hold patients during any radiographic

procedure when an immobilization method is the appropriate standard of care. As students progress in the program,

they must become increasingly proficient in the application of radiation safety practices.

The program must also assure radiation safety in energized laboratories. Students’ utilization of energized

laboratories must be under the supervision of a qualified radiographer who is readily available. If a qualified

radiographer is not readily available to provide supervision, the radiation exposure mechanism must be disabled.

Programs are encouraged to develop policies regarding safe and appropriate use of energized laboratories by students.

Required Program Response:

Describe how the curriculum sequence and content prepares students for safe radiation practices.

Provide the curriculum sequence.

Provide policies/procedures regarding radiation safety.

Possible Site Visitor Evaluation Methods:

Review of program curriculum

Review of radiation safety policies/procedures

Review of student handbook

Review of student records

Review of student dosimetry reports

Interviews with faculty

Interviews with clinical instructor(s)

Interviews with clinical staff

Interviews with students

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4.4 Assures that medical imaging procedures are performed under the direct supervision of a

qualified radiographer until a student achieves competency.

Explanation:

Direct supervision assures patient safety and proper educational practices. The JRCERT defines direct

supervision as student supervision by a qualified radiographer who:

reviews the procedure in relation to the student’s achievement,

evaluates the condition of the patient in relation to the student’s knowledge,

is physically present during the conduct of the procedure, and

reviews and approves the procedure and/or image.

Students must be directly supervised until competency is achieved.

Required Program Response:

Describe how the direct supervision requirement is enforced and monitored in the clinical setting.

Provide documentation that the program’s direct supervision requirement is made known to students,

clinical instructors, and clinical staff.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of student records

Review of meeting minutes

Interviews with faculty

Interviews with clinical instructor(s)

Interviews with clinical staff

Interviews with students

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4.5 Assures that medical imaging procedures are performed under the indirect supervision of a

qualified radiographer after a student achieves competency.

Explanation:

Indirect supervision promotes patient safety and proper educational practices. The JRCERT defines indirect

supervision as that supervision provided by a qualified radiographer immediately available to assist students

regardless of the level of student achievement. “Immediately available” is interpreted as the physical

presence of a qualified radiographer adjacent to the room or location where a radiographic procedure is

being performed. This availability applies to all areas where ionizing radiation equipment is in use on

patients.

Required Program Response:

Describe how the indirect supervision requirement is enforced and monitored in the clinical setting.

Provide documentation that the program’s indirect supervision requirement is made known to

students, clinical instructors, and clinical staff.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of student records

Review of meeting minutes

Interviews with faculty

Interviews with clinical instructor(s)

Interviews with clinical staff

Interviews with students

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4.6 Assures that students are directly supervised by a qualified radiographer when repeating

unsatisfactory images.

Explanation:

The presence of a qualified radiographer during the repeat of an unsatisfactory image assures patient safety

and proper educational practices. A qualified radiographer must be physically present during the conduct of

a repeat image and must approve the student’s procedure prior to re-exposure.

Required Program Response:

Describe how the direct supervision requirement for repeat images is enforced and monitored in the

clinical setting.

Provide documentation that the program’s direct supervision requirement for repeat images is made

known to students, clinical instructors, and clinical staff.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of student records

Review of meeting minutes

Interviews with faculty

Interviews with clinical instructor(s)

Interviews with clinical staff

Interviews with students

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4.7 Assures sponsoring institution’s policies safeguard the health and safety of students.

Explanation:

Appropriate sponsoring institutional policies and procedures assure that students are protected. These

policies must, at a minimum, address emergency preparedness, harassment, communicable diseases, and

substance abuse. Policies and procedures must meet federal and/or state requirements as applicable.

Enrolled students must be informed of policies and procedures.

Required Program Response:

Provide program policies that safeguard the health and safety of students.

Possible Site Visitor Evaluation Methods:

Review of published program materials

Review of student records

Interviews with faculty

Interviews with students

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4.8 Assures that students are oriented to clinical setting policies and procedures in regard to

health and safety.

Explanation:

Appropriate orientation assures that students are cognizant of clinical policies and procedures. The policies

and procedures must, at a minimum, address the following: hazards (fire, electrical, chemical), emergency

preparedness, medical emergencies, HIPAA, and Standard Precautions.

Required Program Response:

Describe the process for orienting students to clinical settings.

Provide documentation that students are apprised of policies and procedures specific to each clinical

setting.

Possible Site Visitor Evaluation Methods:

Review of orientation process

Review of student records

Interviews with faculty

Interviews with clinical instructor(s)

Interviews with students

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Summary for Standard Four

1. List the major strengths of Standard Four, in order of importance.

2. List the major concerns of Standard Four, in order of importance.

3. Provide the program’s plan for addressing each concern identified.

4. Describe any progress already achieved in addressing each concern.

5. Describe any constraints in implementing improvements.

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Standard Five

Assessment

Standard Five: The program develops and implements a system of planning and evaluation of

student learning and program effectiveness outcomes in support of its mission.

Objectives:

In support of Standard Five, the program:

Student Learning

5.1 Develops an assessment plan that, at a minimum, measures the program’s student learning outcomes

in relation to the following goals: clinical competence, critical thinking, professionalism, and

communication skills.

Program Effectiveness

5.2 Documents the following program effectiveness data:

Five-year average credentialing examination pass rate of not less than 75 percent at first

attempt within six months of graduation,

Five-year average job placement rate of not less than 75 percent within twelve months of

graduation,

Program completion rate,

Graduate satisfaction, and

Employer satisfaction.

5.3 Makes available to the general public program effectiveness data (credentialing examination pass

rate, job placement rate, and program completion rate) on an annual basis.

Analysis and Actions

5.4 Analyzes and shares student learning outcome data and program effectiveness data to foster

continuous program improvement.

5.5 Periodically evaluates its assessment plan to assure continuous program improvement.

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5.1 Develops an assessment plan that, at a minimum, measures the program’s student learning

outcomes in relation to the following goals: clinical competence, critical thinking, professionalism,

and communication skills.

Explanation:

Assessment is the systematic collection, review, and use of information to improve student learning and

educational quality. An assessment plan helps assure continuous improvement and accountability.

Minimally, the plan must include a separate goal in relation to each of the following: clinical competence,

critical thinking, professionalism, and communication skills. The plan must include student learning

outcomes, measurement tools, benchmarks, and identify timeframes and parties responsible for data

collection.

For additional information regarding assessment, please refer to www.jrcert.org.

Required Program Response:

Provide a copy of the program’s current assessment plan.

Possible Site Visitor Evaluation Methods:

Review of assessment plan

Review of assessment tools

Interviews with faculty

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5.2 Documents the following program effectiveness data:

Five-year average credentialing examination pass rate of not less than 75 percent at

first attempt within six months of graduation,

Five-year average job placement rate of not less than 75 percent within twelve months

of graduation,

Program completion rate,

Graduate satisfaction, and

Employer satisfaction.

Explanation: Credentialing examination, job placement, and program completion data must be reported annually to the JRCERT.

Graduate and employer satisfaction data must be collected as part of the program’s assessment process.

Credentialing examination pass rate is defined as the number of student graduates who pass, on first attempt, the

American Registry of Radiologic Technologists (ARRT) certification examination or an unrestricted state licensing

examination compared with the number of graduates who take the examination within six months of graduation.

Job placement rate is defined as the number of graduates employed in the radiologic sciences compared to the number

of graduates actively seeking employment in the radiologic sciences. The JRCERT has defined not actively seeking

employment as: 1) graduate fails to communicate with program officials regarding employment status after multiple

attempts, 2) graduate is unwilling to seek employment that requires relocation, 3) graduate is unwilling to accept

employment due to salary or hours, 4) graduate is on active military duty, and/or 5) graduate is continuing education.

Program completion rate is defined as the number of students who complete the program within 150% of the stated

program length. The program must establish a benchmark for its program completion rate. The program specifies the

entry point (e.g., required orientation date, final drop/add date, final date to drop with 100% tuition refund, official

class roster date, etc.) used in calculating program’s completion rate.

Graduate and employer satisfaction may be measured through a variety of methods. The methods and timeframes for

collection of the graduate and employer satisfaction data are the prerogative of the program.

Required Program Response: Provide actual outcome data in relation to program effectiveness.

Possible Site Visitor Evaluation Methods:

Review of program effectiveness data

Interviews with faculty

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5.3 Makes available to the general public program effectiveness data (credentialing

examination pass rate, job placement rate, and program completion rate) on an annual basis.

Explanation:

Program accountability is enhanced by making its effectiveness data available to the program’s communities of

interest and the general public. In efforts to increase accountability and transparency, the program must publish, at a

minimum, its five -year average credentialing examination pass rate, five-year average job placement rate, and

program completion rate data on its Web site to allow the public access to this data. The program effectiveness data

should clearly identify the sample size associated with each associated measure (i.e., number of first time test takers,

number of graduates actively seeking employment, number of graduates).

Additionally, the JRCERT will post five-year average credentialing examination pass rate, five-year average job

placement rate, and program completion rate data at www.jrcert.org. The program must publish the JRCERT URL

(www.jrcert.org) to allow the public access to this data.

Required Program Response:

Provide copies of publications that contain the program’s program effectiveness data (credentialing

examination pass rate, job placement rate, and program completion rate).

Provide samples of publications that document the availability of program effectiveness data via the JRCERT

URL address from the institution’s/program’s Web site.

Possible Site Visitor Evaluation Methods:

Review of program publications

Review of institutional and/or program Web site

Interviews with faculty

Interviews with students

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5.4 Analyzes and shares student learning outcome data and program effectiveness data to foster

continuous program improvement.

Explanation:

Analysis of student learning outcome data and program effectiveness data allows the program to identify

strengths and areas for improvement to bring about systematic program improvement. This analysis also

provides a means of accountability to communities of interest. It is the program’s prerogative to determine

its communities of interest.

The analysis must be reviewed with the program’s communities of interest. One method to accomplish this

would be the development of an assessment committee. The composition of the assessment committee may

be the program’s advisory committee or a separate committee that focuses on the assessment process. The

committee should be used to provide feedback on student achievement and assist the program with

strategies for improving its effectiveness. This review should occur at least annually and must be formally

documented.

For additional information regarding assessment, please refer to www.jrcert.org.

Required Program Response:

Describe how the program analyzes student learning outcome data and program effectiveness data to

identify areas for program improvement.

Describe how the program shares its student learning outcome data and program effectiveness data

with its communities of interest.

Describe examples of changes that have resulted from the analysis of student learning outcome data

and program effectiveness data and discuss how these changes have led to program improvement.

Provide a copy of the program’s actual student learning outcome data since the last accreditation

award. This data may be documented on previous assessment plans or on a separate document.

Provide documentation that student learning outcome data and program effectiveness data has been

shared with communities of interest.

Possible Site Visitor Evaluation Methods:

Review of student learning outcome data and program effectiveness data to support

the assessment plan

Review of representative samples of measurement tools used for data collection

Review of aggregate data

Review of meeting minutes related to the assessment process

Interviews with faculty

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5.5 Periodically evaluates its assessment plan to assure continuous program improvement.

Explanation:

Identifying and implementing needed improvements in the assessment plan leads to programmatic

improvement and renewal. As part of the assessment cycle, the program should review its assessment plan

to assure that assessment measures are adequate and that the assessment process is effective in measuring

student learning outcomes. At a minimum, this evaluation must occur at least every two years and be

documented in meeting minutes.

For additional information regarding assessment, please refer to www.jrcert.org.

Required Program Response:

Describe how this evaluation has occurred.

Provide documentation that the plan is evaluated at least once every two years.

Possible Site Visitor Evaluation Methods:

Review of meeting minutes related to the assessment process

Review of assessment committee meeting minutes, if applicable

Interviews with faculty

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Summary for Standard Five

1. List the major strengths of Standard Five, in order of importance.

2. List the major concerns of Standard Five, in order of importance.

3. Provide the program’s plan for addressing each concern identified.

4. Describe any progress already achieved in addressing each concern.

5. Describe any constraints in implementing improvements.

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Standard Six

Institutional/Programmatic Data

Standard Six: The program complies with JRCERT policies, procedures, and STANDARDS to

achieve and maintain specialized accreditation.

Objectives:

In support of Standard Six, the program:

Sponsoring Institution

6.1 Documents the continuing institutional accreditation of the sponsoring institution.

6.2 Documents that the program’s energized laboratories are in compliance with applicable state and/or

federal radiation safety laws.

Personnel

6.3 Documents that all faculty and staff possess academic and professional qualifications appropriate for

their assignments.

Clinical Settings

6.4 Establishes and maintains affiliation agreements with clinical settings.

6.5 Documents that clinical settings are in compliance with applicable state and/or federal radiation

safety laws.

Program Sponsorship, Substantive Changes, and Notification of Program Officials

6.6 Complies with requirements to achieve and maintain JRCERT accreditation.

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6.1 Documents the continuing institutional accreditation of the sponsoring institution.

Explanation:

The goal of accreditation is to ensure that the education provided by institutions meets acceptable levels of

quality. The sponsoring institution must be accredited by:

an agency recognized by the United States Department of Education (USDE) and/or Council for

Higher Education Accreditation (CHEA),

The Joint Commission (TJC), or

equivalent standards.

Required Program Response:

Provide documentation of current institutional accreditation for the sponsoring institution. This may be a

copy of the award letter, certificate, or printout of the institutional accreditor’s Web page.

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6.2 Documents that the program’s energized laboratories are in compliance with applicable state

and/or federal radiation safety laws.

Explanation:

Compliance with applicable laws promotes a safe environment for students and others. Records of

compliance must be maintained for the program’s energized laboratories.

Required Program Response:

Provide certificates and/or letters for each energized laboratory documenting compliance with state and/or

federal radiation safety laws.

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6.3 Documents that all faculty and staff possess academic and professional qualifications

appropriate for their assignments.

Full-time Program Director:

Holds, at a minimum, a master’s degree,

Is proficient in curriculum design, program administration, evaluation, instruction, and

academic advising,

Documents three years clinical experience in the professional discipline,

Documents two years of experience as an instructor in a JRCERT-accredited program, and

Holds American Registry of Radiologic Technologists current registration in radiography or

equivalent (i.e., unrestricted state license for the state in which the program is located).

Full-time Clinical Coordinator:

Holds, at a minimum, a baccalaureate degree,

Is proficient in curriculum development, supervision, instruction, evaluation, and academic

advising,

Documents two years clinical experience in the professional discipline,

Documents a minimum of one year of experience as an instructor in a JRCERT-accredited

program, and

Holds American Registry of Radiologic Technologists current registration in radiography or

equivalent (i.e., unrestricted state license for the state in which the program is located).

Full-time Didactic Program Faculty:

Holds, at a minimum, a baccalaureate degree,

Is qualified to teach the subject,

Is knowledgeable of course development, instruction, evaluation, and academic advising,

Documents two years clinical experience in the professional discipline, and

Holds American Registry of Radiologic Technologists current registration in radiography or

equivalent (i.e., unrestricted state license for the state in which the program is located).

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Part-time Didactic Program Faculty

Holds academic and/or professional credentials appropriate to the subject content

area taught and

Is knowledgeable of course development, instruction, evaluation, and academic advising.

Clinical Instructor(s):

Is proficient in supervision, instruction, and evaluation,

Documents two years clinical experience in the professional discipline, and

Holds American Registry of Radiologic Technologists current registration in radiography or

equivalent (i.e., unrestricted state license for the state in which the clinical setting is located).

Clinical Staff:

Holds American Registry of Radiologic Technologists current registration in radiography or

equivalent (i.e., unrestricted state license for the state in which the clinical setting is located).

Explanation:

Appropriate knowledge, proficiency, and certification (if appropriate) provide a foundation that promotes a

sound educational environment.

Faculty and staff must possess academic and professional qualification(s) appropriate for their assignment.

Clinical instructors and clinical staff supervising students’ performance in the clinical component of the

program must document ARRT registration (or equivalent) or other appropriate credentials. Appropriate

credentials, other than ARRT registration (or equivalent), may be used for qualified health care practitioners

supervising students in specialty areas (e.g., registered nurse supervising students performing patient care

skills, phlebotomist supervising students performing venipuncture, etc.).

Required Program Response:

For all program officials not previously identified on the program’s database , submit a request for

recognition of program officials including a current curriculum vitae and documentation of current

registration by the American Registry of Radiologic Technologists* or equivalent.

For all currently recognized program officials [program director, educational coordinator (if

applicable), full-time didactic faculty, and all clinical preceptors], submit a current registration by

the American Registry of Radiologic Technologists* or equivalent.

*These may be copies of current registration cards or “ARRT Identification” page available at

www.arrt.org.

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6.4 Establishes and maintains affiliation agreements with clinical settings.

Explanation:

Formalizing relations between the program and the clinical setting helps assure the quality of clinical

education by delineating appropriate responsibilities of the program and the clinical setting. An appropriate

termination clause assures that students will have an opportunity to complete the clinical education

component. The JRCERT defines an affiliation agreement as a formal written understanding between an

institution sponsoring the program and an independent clinical setting.

An affiliation agreement must identify the responsibilities of all parties and, specifically, must address

student supervision, student liability, and provide adequate notice of termination of the agreement. An

affiliation agreement is not needed for clinical settings owned by the sponsoring institution; however, a

memorandum of understanding between the clinical setting and the sponsoring institution is recommended.

At a minimum, the memorandum should address responsibilities of both parties and student supervision.

Required Program Response:

Provide copies of current, signed affiliation agreements with each clinical setting.

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6.5 Documents that clinical settings are in compliance with applicable state and/or federal

radiation safety laws.

Explanation:

Compliance with applicable laws promotes a safe environment for students and others. Records of

compliance must be maintained for each clinical setting. Clinical settings may be recognized by The Joint

Commission (TJC), DNV Healthcare, Inc., Healthcare Facilities Accreditation Program (HFAP), or an

equivalent agency, or may hold a state-issued license.

Required Program Response:

Provide letters, certificates, or printouts of Web pages demonstrating the current recognition status of each

clinical setting.

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117 Radiography

6.6 Complies with requirements to achieve and maintain JRCERT accreditation.

Explanation:

Programs must comply with JRCERT policies and procedures to maintain accreditation. JRCERT

accreditation requires that the sponsoring institution has primary responsibility for the educational program

and grants the terminal award.

Sponsoring institutions may include educational programs established in vocational/technical schools,

colleges, universities, hospitals, or military facilities. The JRCERT also recognizes a consortium as an

appropriate sponsor of an educational program. A consortium is two or more academic or clinical

institutions that have formally agreed to sponsor the development and continuation of an educational

program. The consortium must be structured to recognize and perform the responsibilities and functions of a

sponsoring institution.

The JRCERT does not recognize branch campuses. The JRCERT requires that each program location have a

separate accreditation award.

Additionally, the JRCERT will not recognize a healthcare system as the program sponsor. A healthcare

system consists of multiple institutions operating under a common governing body or parent corporation. A

specific facility within the healthcare system must be identified as the sponsor.

The JRCERT requires programs to maintain a current and accurate database. Updates should be reflected

within thirty (30) days of effective change date. Additionally, the JRCERT requires notification of

substantive changes within thirty (30) days of implementation.

Required Program Response:

Report any database changes.

Report any substantive change not previously submitted.

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118 Radiography

Summary for Standard Six

1. List the major strengths of Standard Six, in order of importance.

2. List the major concerns of Standard Six, in order of importance.

3. Provide the program’s plan for addressing each concern identified.

4. Describe any progress already achieved in addressing each concern.

5. Describe any constraints in implementing improvements.

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119 Radiography

Awarding, Maintaining, and Administering Accreditation

A. Program/Sponsoring Institution Responsibilities

1. Applying for Accreditation

The accreditation review process conducted by the Joint Review Committee on Education in

Radiologic Technology (JRCERT) can be initiated only at the written request of the chief executive

officer or an officially designated representative of the sponsoring institution.

This process is initiated by submitting an application and self-study report, prepared according to

JRCERT guidelines, to:

Joint Review Committee on Education in Radiologic Technology

20 North Wacker Drive, Suite 2850

Chicago, IL 60606-3182

2. Administrative Requirements for Maintaining Accreditation

a. Submitting the self-study report or a required progress report within a reasonable period of

time, as determined by the JRCERT.

b. Agreeing to a reasonable site visit date before the end of the period for which accreditation

was awarded.

c. Informing the JRCERT, within a reasonable period of time, of changes in the institutional or

program officials, program director, clinical coordinator, full-time didactic faculty, and

clinical instructor(s).

d. Paying JRCERT fees within a reasonable period of time.

e. Returning, by the established deadline, a completed Annual Report.

f. Returning, by the established deadline, any other information requested by the JRCERT.

Programs are required to comply with these and other administrative requirements for maintaining

accreditation. Additional information on policies and procedures is available at www.jrcert.org.

Program failure to meet administrative requirements for maintaining accreditation will lead to being

placed on Administrative Probationary Accreditation and result in Withdrawal of Accreditation.

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122 Radiography

B. JRCERT Responsibilities

1. Administering the Accreditation Review Process

The JRCERT reviews educational programs to assess compliance with the Standards for

an Accredited Educational Program in Radiography.

The accreditation process includes a site visit.

Before the JRCERT takes accreditation action, the program being reviewed must respond

to the report of findings.

The JRCERT is responsible for recognition of clinical settings.

2. Accreditation Actions

JRCERT accreditation actions for Probation may be reconsidered following the

established procedure.

JRCERT accreditation actions for Accreditation Withheld or Accreditation Withdrawn

may be appealed following the established procedure. Procedures for appeal are

available at www.jrcert.org.

All other JRCERT accreditation actions are final.

A program or sponsoring institution may, at any time prior to the final accreditation

action, withdraw its request for initial or continuing accreditation.

Educators may wish to contact the following organizations for additional information and materials:

accreditation: Joint Review Committee on Education in Radiologic Technology

20 North Wacker Drive, Suite 2850

Chicago, IL 60606-3182

(312) 704-5300

www.jrcert.org

curriculum: American Society of Radiologic Technologists

15000 Central Avenue, S.E.

Albuquerque, NM 87123-3909

(505) 298-4500

www.asrt.org

certification: American Registry of Radiologic Technologists

1255 Northland Drive

St. Paul, MN 55120-1155

(651) 687-0048

www.arrt.org

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123 Radiography

Copyright © 2014 by the JRCERT

Subject to the condition that proper attribution is given and this copyright notice is

included on such copies, JRCERT authorizes individuals to make up to one hundred

(100) copies of this work for non-commercial, educational purposes. For permission

to reproduce additional copies of this work, please write to:

JRCERT

20 North Wacker Drive

Suite 2850

Chicago, IL 60606-3182

(312) 704-5300

(312) 704-5304 (fax)

[email protected] (e-mail)

www.jrcert.org

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124 Radiography

APPENDIX C

THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS

CODE OF ETHICS

September 2016

1. The radiologic technologist acts in a professional manner, responds to patient needs and

supports colleagues and associates in providing quality patient care.

2. The radiologic technologist acts to advance the principle objective of the profession to

provide services to humanity with full respect for the dignity of mankind.

3. The radiologic technologist delivers patient care and service unrestricted by the concerns

of personal attributes or the nature of the disease or illness, and without discrimination on

the basis of sex, race, creed, religion or socio-economic status.

4. The radiologic technologist practices technology founded upon theoretical knowledge

and concepts, uses equipment and accessories consistent with the purposes for which they

were designed and employs procedures and techniques appropriately.

5. The radiologic technologist assesses situations; exercises care, discretion and judgment;

assumes responsibility for professional decisions; and acts in the best interest of the

patient.

6. The radiologic technologist acts as an agent through observation and communication to

obtain pertinent information for the physician to aid in the diagnosis and treatment of the

patient and recognizes that interpretation and diagnosis are outside the scope of practice

for the profession.

7. The radiologic technologist uses equipment and accessories, employs techniques and

procedures, performs services in accordance with an accepted standard of practice and

demonstrates expertise in minimizing radiation exposure to the patient, self and other

members of the health care team.

8. The radiologic technologist practices ethical conduct appropriate to the profession

and protects the patient’s right to quality radiologic technology care.

9. The radiologic technologist respects confidences entrusted in the course of professional

practice, respects the patient’s right to privacy and reveals confidential information only

as required by law or to protect the welfare of the individual or the community.

10. The radiologic technologist continually strives to improve knowledge and skills by

participating in continuing education and professional activities, sharing knowledge with

colleagues and investigating new aspects of professional practice.

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125 Radiography

APPENDIX D

RADIOLOGIC TECHNOLOGY PROGRAMS

Request for CTO Hours

Today’s Date _______________________ Student’s Name __________________________

Number of CTO Hours to be used: ______________________________________________

Half Day (3.5hrs) or Full Day (7 hrs)

Date to be used: _________________________________

Student’s Signature ____________________________________________

Clinical Coordinator Signature ___________________________________

Forms must be filled out and handed in at least 48 hours prior to request date unless

otherwise specified.

* CTO time may only be taken in half day or full day segments.

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126 Radiography

APPENDIX E

Declaration of Pregnancy (Student completion of this Declaration of Pregnancy form is voluntary.)

Student Data:

Name: Declaration Date:

Established Conception Date: Film Badge #:

Established Delivery Date:

Department: Phone – Work:

Department Mail Address: Home:

Supervisor: Phone:

Radiation History Review:

Radiation Sources: Dx X-ray: Nuclear Medicine:

Rx X-ray: Sealed Sources:

Other?:

Min. (mRem) Avg. (mRem) Max. (mRem)

Monthly: Based on: Individual records

Quarterly: Group

Annually:

Fetal Dose Pre-Declaration Fetal Dose Post-Declaration

Month/Year mRem Month/Year mRem

1 1

2 2

3 3

4 4

5 5

6 6

7 7

8 8

9 9

Total Before: Total After:

Recommendation:

Declaration of Pregnancy:

Student Signature: RSO Signature

Date: Date:

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127 Radiography

APPENDIX F

UNIFORM INFORMATION

SCRUB WEAR HOUSE

2409 Main Street

Rocky Hill, CT 06067

(860) 571-8966

Scrubwearhouse.net

SCRUB WEAR HOUSE

232 Boston Post Road

Milford, CT 06460

(203) 877-1293

SCRUB WEAR HOUSE

625 Wolcott Street

Waterbury, CT 06705

(203) 527-4440

LEAD MARKERS

Pbmarker.com

Item #13A

Color: Red and Blue ONLY

Must have 3 initials included

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128 Radiography

APPENDIX G

ARRT - Clinical Competency Requirements Checklist (Eff.1/17)

Radiologic Procedure

Mandatory

or Elective

Knowledge

Assessment

Patient or

Simulated

Date of

Competency

Completion

Chest and Thorax

Chest Routine M

Chest AP(wheelchair or stretcher) M

Ribs M

Chest Lateral Decubitus E

Sternum E

Upper Airway (soft-tissue neck) E

Upper Extremity

Thumb or Finger M

Hand M

Wrist M

Forearm M

Elbow M

Humerus M

Shoulder M

Trauma Shoulder (Scapular Y,

Transthoracic or Axillary)*

M

Clavicle M

Scapula E

AC joints E

Trauma Upper Extremity

(Non-Shoulder)

M

Lower Extremity

Toes E

Foot M

Ankle M

Tib/Fib M

Knee M

Femur M

Trauma Lower Extremity* M

Patella E

Calcaneus (Os-Calcis) E

Head – Students must select at least

one elective from this section.

Skull E

Paranasal Sinuses E

Facial Bones E

Orbits E

Zygomatic Arches E

Nasal Bones E

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129 Radiography

Mandible E

Temporomandibular Joints E

Spine and Pelvis

Cervical Spine M

X-table Lateral Spine M

Thoracic Spine M

Lumbar Spine M

Pelvis M

Hip M

Trauma Hip (X-table Lateral) M

Sacrum and/or Coccyx E

Scoliosis Series E

Sacroiliac Joints E

Abdomen

Abdomen Supine (KUB) M

Abdomen Upright M

Abdomen Decubitus E

Intravenous Urography E Fluoroscopy Studies – Students must

select either Upper GI or Barium

Enema plus one other elective

procedure from this section.

Upper GI Series (single or

double contrast)

E

Contrast Enema (single or double

contrast)

E

Small Bowel Series E

Esophagus E

Cystography/Cystourethrography E

ERCP E

Myelography E

Arthrography E

Mobile C-Arm Studies

C-Arm Procedure (Requiring

manipulation to obtain more than one

projection)

M

Surgical Procedure (Requiring

manipulation around a sterile field)

M

Mobile Radiographic Studies

Chest M

Abdomen M

Orthopedic M

Pediatrics (age 6 or younger)

Chest Routine M

Upper Extremity E

Lower Extremity E

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130 Radiography

Abdomen E

Mobile Study E

Geriatrics (age 65 or older and

physically or cognitively impaired

as a result of aging)

Chest Routine M

Upper Extremity M

Lower Extremity M

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131 Radiography

APPENDIX H

Gateway Community College – Radiography

Student Evaluation of Clinical Instructor

5 – Very strongly AGREE 4 – Strongly AGREE 3 – AGREE 2 – DISAGREE 1 – Strongly DISAGREE

THE CLINICAL INSTRUCTOR FOR THIS ROTATION: 5 4 3 2 1

1. gave the student opportunities to perform various radiographic exams

2. offered direct and indirect supervision as outlined in the Radiography Program Student Handbook

3. was available to students on a regular basis

4. demonstrated support for Program policies and procedures

5. followed the competency evaluation procedure as written

6. offered constructive criticism in a timely manner as to support student learning

7. demonstrated a positive attitude toward students

8. demonstrated a positive attitude toward the College and Program faculty/staff

9. critiqued images after exam

10. Effectively handled student questions/concerns/problems

THE STAFF TECHNOLIGISTS FOR THIS ROTATION WERE:

11. helpful

12. eager to work with students

13. supportive of the Program and students

14. eager to work with students

15. offered students constructive criticism

THE PHYSICAL ASPECTS OF THIS ROTATION PROVIDED:

16. an adequate number of procedures for my educational experience

17. equipment in good working order

18. well defined procedure guidelines

19. exposure guidelines/ technique chart

GENERAL INFORMATION:

20. My overall experience in this rotation was both educational and beneficial

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132 Radiography

APPENDIX I

Gateway Community College

Radiography Program

Evaluation of Clinical Affiliate/Rotation

Directions: Answer the following questions based on your OWN assessment of the rotation and

affiliate. Please answer ALL questions. If you mark a 1 or 2 for any question, please be sure to

include an explanation for that answer in the comments section of this evaluation. The evaluation

will be kept confidential and be used to help the Program identify areas where improvement is

needed.

Date: ________________________________

Affiliate: _____________________________

Use the following key to answer the questions:

5 – Very strongly AGREE 4 – Strongly AGREE 3 – AGREE 2 – DISAGREE 1 – Strongly DISAGREE

THE CLINICAL INSTRUCTOR FOR THIS ROTATION: 5 4 3 2 1

1. gave the student opportunities to perform various radiographic exams

2. offered direct and indirect supervision as outlined in the Program Guide

3. was available to students on a regular basis

4. demonstrated support for Program policies and procedures

5. followed the competency evaluation procedure as written

6. offered constructive criticism in a manner that supports student learning

7. demonstrated a positive attitude toward students

8. demonstrated a positive attitude toward the College and Program

9. critiqued images after exam

10. Effectively handled student questions/concerns/problems

THE STAFF TECHNOLIGISTS FOR THIS ROTATION WERE:

11. helpful

12. eager to work with students

13. supportive of the Program and students

14. eager to work with students

15. offered students constructive criticism

THE PHYSICAL ASPECTS OF THIS ROTATION PROVIDED:

16. an adequate number of procedures for my educational experience

17. equipment in good working order

18. well defined procedure guidelines

19. exposure guidelines/ technique chart

GENERAL INFORMATION:

20. My overall experience in this rotation was educational and beneficial

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133 Radiography

APPENDIX J

In addition to the written evaluation, the student will be expected to perform and/or answer the

following:

Exit Interview

1. The student must perform one GI exam from beginning to end.

a. Student sets up for exam

b. Student gets patient ready for exam

c. Student contacts Radiologist

d. Student assists Radiologist throughout study

e. Student does all imaging for entire case

Sets technical factors

Positions patient

Operates CR/DR system

Image critique and evaluation

Labels Images (if applicable)

Completes the case

2. Bring student to general radiographic area/room. Again have student draw various exams

scheduled for that area and observe for the above criteria. Eliminate those steps that do

not apply.

3. Have student perform portable examination from beginning to end.

4. Have student simulate or if possible, perform an OR procedure..

5. Have student write a short essay on a clinical topic chosen by the Clinical Coordinator

and Program Director.

6. Assess the student’s communication and interpersonal skills:

a. can they obtain information from appropriate people?

b. how do they get along with all personnel involved in the procedures?

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134 Radiography

Exit Competency Criteria based GCC Radiography Exit Competency Guidelines

Graduate:

Hospital:

Date:

Task Inventory .25 .50 .75 1.0 Score Perform diagnostic Radiographic

examination to provide a source of

information for interpretation by

radiologist and viewing for referring

physicians.

1.1 Consistently verify physician’s orders

on requisitions as observed by

coordinator.

1.2 Identify correct patient for requested

examination, 100% of the time as

observed by coordinator.

1.3 Capable of performing specific

examinations in assigned areas as

observed by student evaluator or

coordinator.

1.4 Consistently explain requested

procedure to patients to alleviate fears and

anxieties as observed by student

evaluator.

1.5 Consistently position patients properly

for requested examination as observed by

Radiologist.

1.6 Select proper technical factors on an

individual patient basis to produce

optimal radiographic images consistently,

as observed by student evaluator

1.7 Process films to produce images for

viewing and interpretation as needed as

observed by student evaluator.

1.8 Evaluates radiographic images for

appropriate positioning and image quality.

1.9 Routinely exhibits good planning and

organizational skills to provide timely

completion of examination schedule and

facilitate examinations.

1.10 Consistently initials exam requisition

as observed by student

evaluator/coordinator.

TOTAL SCORE FOR TASK 1 out of

10 points

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135 Radiography

Operates Radiographic Equipment to

ensure proper technical results.

2.1 Conduct daily inspection of

Radiographic Equipment to ensure

diagnostic quality of each procedure as

observed by student evaluator.

Task Inventory

.25

.50

.75

1.0

Score 2.2 Maintain clean work area to ensure

safe operation of all equipment as

observed by student evaluator.

2.3 Always demonstrate a positive,

supportive and constructive behavior both

inter- and intra- departmental

communication as observed by student

evaluator/coordinator.

2.4 Is familiar with and uses correct

positioning devices as needed as observed

by student evaluator or coordinator.

2.5 Sets up and adjusts radiation

protection devices for patients 100% of

the time as observed by student evaluator.

2.6 Uses provided equipment for

Radiation protection to the operator 100%

of the time as observed by student

evaluator.

2.7 Is familiar with all contrast media

used in specific diagnostic studies and is

aware of reactions and reports of incidents

to Radiologist and student evaluator.

2.8 Routinely uses lead markers to

properly identify patient position on x-ray

image as observed by student evaluator.

TOTAL SCORE FOR TASK 2 out of 8

points

Prepares examination room ensuring

cleanliness and supplies to assure

proper and accurate performance of

exams.

3.1 Replace any used supplies

immediately after patient dismissed 95%

of the time as observed by the student

evaluator.

3.2 Execute cleaning of examination room

before and after patient examination

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136 Radiography

100% of the time as observed by student

evaluator.

3.3 Notify your Lead Technologist or

Supervisor of assigned area of any needed

supplies to ensure continual supply as

needed.

3.4 Notify Lead Technologist or

Supervisor of any malfunction in

equipment to assure its proper use during

patient care 100% of the time as observed

by Supervisor.

3.5 Notify Lead Technologist or

Supervisor of any need for environmental

repair as needed.

3.6 Routinely sets up for examination to

ensure efficiency in Radiographic

procedures as observed by student

evaluator.

3.7 Routinely checks medication and

contrast material for expiration dates as

observed by supervisor.

TOTAL SCORE FOR TASK 3 out of 7

points

Task Inventory .25 .50 .75 1.0 Score Performs various general support

functions in department to ensure

efficient utilization of time.

4.1 Consistently inspect patient’s

radiographic file folder to assure proper

assignment and procedure as observed by

student evaluator/clinical coordinator.

4.2 Correlates procedures change with

actual procedure performed as observed

by student evaluator/coordinator.

4.3 Checks patient schedule to provide

orderly flow of procedures through

department as observed by supervisor.

4.4 Function in any position within

assigned or other areas to ensure

continuation of services to patients as

needed as observed by student

evaluator/clinical coordinator.

4.5 Works well with co-workers and is

willing to assist them in performing

radiographic procedures or other related

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137 Radiography

duties as needed as observed by student

evaluator/clinical coordinator.

4.6 Assists Radiologist during

examinations and follows instructions

properly 100% of the time as observed by

student evaluator/clinical coordinator.

4.7 Able to act quickly and calmly in

emergency situations as needed and is

familiar with the location of all

Emergency apparatus as observed by

student evaluator/clinical coordinator.

4.8 Performs other duties as assigned as

observed by clinical coordinator.

4.9 Interacts with physicians, secretaries,

nursing film library, patient support and

technical staff in other departments to

facilitate the scheduling and

implementation of radiographic

examinations as observed by student

evaluator.

TOTAL SCORE FOR TASK 4 out of 9

points

Maintains knowledge of Radiography

Computer Systems

5.1 Edits and completes all Radiographic

studies as needed as observed by student

evaluator.

5.2 Schedules additional patient exams

when performed as needed and observed

by student evaluator/clinical coordinator.

TOTAL SCORE FOR TASK 5 out of 2

points

Qualifications for Registry eligibility

Task Inventory .25 .50 .75 1.0 Score 6.1 Graduate A.M.A. approved school of

Radiologic Technology in accordance

with program requirements for

graduation.

6.2 Pass simulated Registry given at end

of second year, 75% +

6.3 Maintain a 2.5 or better average in

core courses.

6.4 Complete competency in all aspects of

general radiography.

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138 Radiography

6.5 Maintains ethical conduct in

accordance to program policy and ASRT

code of ethics throughout the program.

TOTAL SCORE FOR TASK 6 out of 5

points

Demonstrates standards of behavior in

accordance with hospital training to

ensure a professional, responsive, and

courteous hospital environment for

patients, visitors, and fellow employees.

7.1 Interacts with all others in a

considerate, helpful and courteous manner

as established by departmental practice

and procedure as observed by supervisor

or noted in reports or correspondence

from concerned parties with no more than

three variances in a review year.

7.2 Maintains confidentiality of

designated hospital and patient

information with no violations of hospital

policy or procedure as observed by

supervisor and staff.

7.3 Presents neat appearance in

appropriate dress and identification as

required by the position and department

standards and/or hospital policy with no

more than one variance in a six month

period as observed by supervisor and

staff.

7.4 Conducts all work activities with

respect for rights and wishes of others

including the maintenance of a pleasant,

quiet environment with no more than two

legitimate documented variances per year.

7.5 Fosters mature, professional

relationships with fellow employees in a

courteous, friendly manner at all times (as

exhibited in such behaviors as remaining

calm during stressful situations, admitting

personal error and controlling emotions

during frustrating or anger-provoking

situations) as measured by supervisor

observation and peer input.

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139 Radiography

Task Inventory .25 .50 .75 1.0 Score 7.6 Participates as effective team member

by performing additional assignments not

directly related to job description when

work load requires, anticipating

departmental need and flexibility in

adapting to support these goals with no

more than three variances in a year as

noted by supervisor.

7.7 When in the situation to do so,

answers telephone, responds to inquiries

and greets visitors in department in a

polite and courteous manner 100% of the

time as noted by peer input and

management observation.

TOTAL SCORE FOR TASK 7 out of 7

points

Follows established program and

affiliate departmental precautions and

procedures in the performance of all

job duties to ensure a safe work

environment for self and others.

8.1 Operates assigned equipment and

performs duties in a safe manner by

following all procedures as instructed

during training and/or orientation, with

no more than two non-serious variances,

or one serious variance during the

evaluation period as observed by

supervisor.

8.2 Demonstrates on a consistent basis the

competent use of proper body mechanics,

as trained, in all functions which require

the movement of any object by not

incurring any lost time injury as a result

of improper techniques or procedures

during the evaluation period as

demonstrated in reports of injury.

8.3 Follows all Student Health Services

procedures as mandated by policy and/or

task specific requirements with no

variances as reported by supervisor or

health service staff/records.

8.4 Demonstrates a complete

understanding of established and

published emergency procedures with no

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140 Radiography

more than two observed or reported

variances during any code (drill or real) as

noted by supervisor.

8.5 Practices infection control and

universal precautions as instructed for

work area with no variances as observed

by supervisor.

8.6 Demonstrates an understanding of and

practices acceptable levels of personal

hygiene and established standards of

cleanliness in the work area as observed

by supervisor.

Task Inventory .25 .50 .75 1.0 Score 8.7 On a regular basis maintains work

area and equipment in the condition

required by departmental standards,

assists as required in the proper

maintenance of the departmental work

area and reports any malfunctioning

equipment to the established authority as

observed by supervisor with no more than

three variances during the review period.

TOTAL SCORE FOR TASK 8 out of 7

points

Meets program attendance and

punctuality requirements to ensure

proper clinical training and

consideration to patients, customers

and co-workers.

9.1 Incurs no more than two incidents of

unscheduled absences (UCTO) in a six

month period or five in a program year as

noted in attendance record.

9.2 Incurs no more than three incidents or

unscheduled tardiness (as defined in

department policy) in a six month period

or five incidents in a program year as

noted in attendance record.

9.3 Provides notification for unscheduled

absences or tardiness in accordance with

established program practices and

procedures with no more than two

variances in a program year as noted by

supervisor.

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141 Radiography

9.4 Requests scheduled time off (CTO) in

accord with established procedure with no

more than two variances in a year as

noted by supervisor.

9.5 Consistently observes sign-in and

sign-out policy and procedures.

TOTAL SCORE FOR TASK 9 out of

5 points

Completion and submission of clinical log book (worth 20 points) ___________

Essay (worth 15 points) ___________

TOTAL EXIT COMPETENCY SCORE ___________

Exit Comp Evaluator Signature: _______________________________________

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142 Radiography

APPENDIX K

20 Church Street

New Haven, Connecticut 06510

EMERGENCY

EVACUATION/LOCKDOWN PLAN

Date: January 1, 2013

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143 Radiography

EVACUATION PLAN

Everyone in the building must evacuate when an alarm sounds and/or upon verbal notification

by authorized personnel.

All persons in classrooms should be directed to move in an orderly manner to the designated exits

posted on the Emergency Action Plan chart located on the wall of the room’s egress.

If time and safety permits, close all doors.

If your assigned exit is blocked, keep calm and seek nearest exit.

When outside of building proceed away from the building and stay out of roadways and areas

utilized by emergency personnel.

Remain outside of the building until the security staff authorizes re-entry.

2. The Early Learning Center evacuated to the Temple Street Garage.

3. Gateway Garage evacuated to the Crown Street sidewalk.

4. Persons with a physical/mobility disability, who cannot exit, should be accompanied to the

rescue area and where they shall wait for the emergency personnel to arrive and evacuate them.

The rescue areas are as follows:

Second Floor Bridge-stairwell/escalator

Third Floor Bridge-stairwell

Fourth Floor Bridge-stairwell

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144 Radiography

Lock-Down/Shelter-In-Place (rev. 3/18)

A lock-down condition may be required for a number of different

types of emergencies such as a hostile intruder, violent or weapons

situation, a chemical spill or plume, severe weather or civil unrest.

Lock-down announcements are given, in English only, over the

building Emergency Telephone Notification System and/or the Fire

Alarm Annunciator System.

ACTIVE SHOOTER...

RUN, HIDE, OR FIGHT IF A HOSTILE INTRUDER IS PRESENT ON CAMPUS,

quickly determine the most reasonable way to protect you own

life. A hostile intruder situation can change rapidly. In addition to

being aware of your surroundings and escape routes, thinking

about how

you will react to a hostile intruder situation in advance will help you

act quickly and efficiently Take time to understand your surroundings

and environment then make a plan.

During an active shooter or hostile intruder event there are three

choices an individual can make

RUN ... If possible run to an exit evacuate the building and get

to a safe location - this is your first option. If a safe exit is available,

take It 1mmedIately Warn others of the impending danger and

encourage them to come with you, but do not let them slow you

down.

HIDE... If a safe escape 1s not possible. Proceed to the nearest office or classroom

until help arrives or safe exit is available. Close, lock and barricade doors

and windows. Turn off lights. Hide behind something thick, and silence cell

phones. Call 911 (8-911 from college phones). Your goal is not only to stay

out of sight, but to prevent the shooter from reaching you. Barricades also

distract the shooter allowing more time for you and responders. Do not

answer the door or respond to voice commands until you are sure they are

coming from police or other legitimate responders. Stay calm, quiet and

wait.

FIGHT... As a last resort, and only if your life is in danger, you may choose to

fight. Be aggressive, Use improvised weapons (fire extinguishers.

scissors. hot coffee, glass containers, or anything else available) and

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145 Radiography

commit your actions. Fight as a group if possible. This action also distracts

the shooter and allows time and opportunity for police to act.

EMERGENCY REPORTING PROCEDURES

Reporting Procedures

Notify the Security Department of any emergency situations

Keep calm

Keep others calm

Campus Security Department:

ON CAMPUS dial x52246

OFF CAMPUS dial 203-285-2246

* In a medical or police emergency in which Security cannot be reached,

dial 911(8-911 from college phone)

EMERGENCY PHONE NUMBERS

Emergency Operator (All life-threatening Emergencies) ............... 8-911

When calling, stay calm and carefully explain the problem and location to the Dispatcher.

Do not hang up until told to do so.

Information to give to 911 and/or Public Safety:

Your Name

Emergency Location (Bldg. name & #, Floor #____, Room #____)

Size and Type of Emergency

Any Additional Information requested by the Operator

College Operator .............................................................................203-285-2000 (x52000)

Security Department .......................................................................203-285-2246 (x52246)

Building Maintenance Supervisor ..................................................203-285-2240 (x52240)

Facilities and Events Management Director .................................203-285-2223 (x52223)

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APPENDIX L

Radiography Program Technical Standards

The Gateway Community College Radiography Program has established technical standards that

must be met by each student admitted into the Program. Each student must be able to:

• Operate radiographic equipment which will include lifting, pushing and reaching.

• Verbally communicate in a clear and concise manner while operating equipment,

positioning patients, and performing other duties as assigned.

• Read and apply appropriate instructions in treatment charts, procedure requisitions,

treatment prescriptions, notes and records.

• Lift a minimum of forty (40) pounds of weight (treatment cones, cassettes, imaging

receptors and ancillary aids used for patient procedures), up and over the level of the

head.

• Move a patient and equipment into accurate positions to insure proper

exposure/treatment.

• Move immobile patients from stretcher to radiographic table with assistance from

departmental personnel.

• Understand and apply clinical instructions given.

• Enter clinical data into computer system for specified procedures.

• Monitor patients during radiographic procedures.

• Monitor audio and video equipment during radiographic procedures.

• Monitor equipment and background sounds during equipment operations.

• Complete all required competencies in a manner that demonstrates accuracy,

consistency, and retention of learned skills and information.

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APPENDIX M

American Hospital Association

The Patient Care Partnership: Understanding Expectations, Rights and

Responsibilities

This document replaced the “Patient’s Bill of Rights” in 2003, and is distributed to

patients in the form of an easy to read brochure.

1. High quality hospital care. Our first priority is to provide you with the care you need,

when you need it, with skill, compassion and respect. Tell your caregivers if you

have concerns about your care or if you have pain. You have the right to know the

identity of doctors, nurses and others involved in your care, and you have the right to

know when they are students, residents or other trainees.

2. A clean and safe environment. Our hospital works hard to keep you safe. We use

special policies and procedures to avoid mistakes in your care and keep you free from

abuse and neglect. If anything unexpected and significant happens during your

hospital stay, you will be told what happened, and any resulting changes in your care

will be discussed with you.

3. Involvement in your care. You and your doctor often make decisions about your care

before you go to the hospital. Other times, especially in emergencies, those decisions

are made during your hospital stay. When decision-making takes place, it should

include:

a. Discussing your medical condition and information about medically

appropriate treatment choices. To make informed decisions with your

doctor, you need to understand:

i. The benefits and risks of each treatment.

ii. Whether your treatment is experimental or part of a research study.

iii. What you can reasonably expect from your treatment and any long-

term effects it might have on your quality of life.

iv. What you and your family will need to do after you leave the hospital.

v. The financial consequences of using uncovered services or out-of-

network providers.

vi. Please tell your caregivers if you need more information about

treatment choices.

b. Discussing your treatment plan. When you enter the hospital, you sign a

general consent to treatment. In some cases, such as surgery or experimental

treatment, you may be asked confirm in writing that you understand what is

planned and agree to it. This process protects your right to consent to or

refuse a treatment. Your doctor will explain the medical consequences of

refusing recommended treatment. It also protects your right to decide if you

want to participate in a research study.

c. Getting information from you. Your caregivers need complete and correct

information about your health and coverage so that they can make good

decisions about your care. That includes:

i. Past illnesses, surgeries or hospital stays.

ii. Past allergic reactions.

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iii. Any medicines or dietary supplements (such as vitamins and herbs)

that you are taking.

iv. Any network or admission requirements under your health plan.

d. Understanding your health care goals and values. You may have health

care goals and values or spiritual beliefs that are important to your well-being.

They will be taken into account as much as possible throughout your hospital

stay. Make sure your doctor, your family and your care team know your

wishes.

e. Understanding who should make decisions when you cannot. If you have

signed a health care power of attorney stating who should speak for you if you

become unable to make health care decisions for yourself, or a “living will” or

“advance directive” that states your wishes about end-of-life care; give copies

to your doctor, your family and your care team. If you or your family need

help making difficult decisions, counselors, chaplains and others are available

to help.

4. Protection of your privacy. We respect the confidentiality of your relationship with

your doctor and other caregivers, and the sensitive information about your health and

health care that are part of that relationship. State and federal laws and hospital

operating policies protect the privacy of your medical information. You will receive

a Notice of Privacy Practices that describes the ways that we use, disclose and

safeguard patient information and that explains how you can obtain a copy of

information from our records about your care.

5. Preparing you and your family for when you leave the hospital. Your doctor works

with hospital staff and professionals in your community. You and your family also

play an important role in your care. The success of your treatment often depends on

your efforts to follow medication, diet and therapy plans. Your family may need to

help care for you at home. You can expect us to help you identify sources of follow-

up care and to let you know if our hospital has a financial interest in any referrals. As

long as you agree that we can share information about your care with them, we will

coordinate our activities with your caregivers outside the hospital. You can also

expect to receive information and, where possible, training about the self-care you

will need when you go home.

6. Help with your bill and filing insurance claims. Our staff will file claims for you with

health care insurers or other programs such as Medicare and Medicaid. They will

also help your doctor with needed documentation. Hospital bills and insurance

coverage are often confusing. If you have questions about your bill, contact our

business office. If you need help understanding your insurance coverage or health

plan, start with your insurance company or health benefits manager. If you do not

have health coverage, we will try to help you and your family find financial help or

make other arrangements. We need your help with collecting needed information and

other requirements to obtain coverage or assistance.